WorldWideScience

Sample records for circumference cut-off values

  1. Optimal cut-off values and population means of waist circumference in different populations.

    Science.gov (United States)

    Wang, Zhiqiang; Ma, Jun; Si, Damin

    2010-12-01

    Abdominal obesity is a risk factor for cardiometabolic disease, and has become a major public health problem in the world. Waist circumference is generally used as a simple surrogate marker to define abdominal obesity for population screening. An increasing number of publications solely rely on the method that maximises sensitivity and specificity to define 'optimal' cut-off values. It is well documented that the optimal cut-off values of waist circumference vary across different ethnicities. However, it is not clear if the variation in cut-off values is a true biological phenomenon or an artifact of the method for identifying optimal cut-off points. The objective of the present review was to assess the relationship between optimal cut-offs and population waist circumference levels. Among sixty-one research papers, optimal cut-off values ranged from 65·5 to 101·2 cm for women and 72·5 to 103·0 cm for men. Reported optimal cut-off values were highly correlated with population means (correlation coefficient: 0·91 for men and 0·93 for women). Such a strong association was independent of waist circumference measurement techniques or the health outcomes (dyslipidaemia, hypertension or hyperglycaemia), and existed in some homogeneous populations such as the Chinese and Japanese. Our findings raised some concerns about applying the sensitivity and specificity approach to determine cut-off values. Further research is needed to understand whether the differences among populations in waist circumference were genetically or environmentally determined, and to understand whether using region-specific cut-off points can identify individuals with the same absolute risk levels of metabolic and cardiovascular outcomes among different populations.

  2. Cut-off values of blood mercury concentration in relation to increased body mass index and waist circumference in Koreans.

    Science.gov (United States)

    Bae, Suhyun; Park, Soo-Jung; Yeum, Kyung-Jin; Choi, Beomhee; Kim, Young-Sang; Joo, Nam-Seok

    2016-04-01

    Blood mercury (methyl-mercury) from environmental exposure may be related to inflammation in our body. We investigated the cut-off values of blood mercury concentration in relation to increased body mass index (BMI) and waist circumference. On the basis of data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES, 2008-2012), 11,159 subjects (5543 males and 5616 females) were analyzed cross-sectionally. Partial correlation, linear regression, and analysis of covariance (according to the mercury quartile) tests were performed to evaluate the relationship between blood mercury and BMI or waist circumference. In addition, we determined the cut-off values of blood mercury concentration in relation to increased BMI and waist circumference in both genders. Mean values of blood mercury concentration were 5.07 ± 0.07 μg/L in males and 3.59 ± 0.04 μg/L in females. After log transformation of blood mercury, significant (p waist circumference. BMI and waist circumference showed a significant and gradual increase as mercury quartile increased in both genders. Blood mercury concentration was weakly but significantly (p waist circumference. Cut-off values of blood mercury concentration correlated with increased BMI and waist circumference were around 3.95 μg/L in males and 3.40 μg/L in females.

  3. Waist circumference cut-off values for the prediction of cardiovascular risk factors clustering in Chinese school-aged children: a cross-sectional study

    OpenAIRE

    Xu Ying; Du Lin; Li Yanping; Hu Xiaoqi; Hills Andrew P; Liu Ailing; Byrne Nuala M; Ma Guansheng

    2010-01-01

    Abstract Background Waist circumference has been identified as a valuable predictor of cardiovascular risk in children. The development of waist circumference percentiles and cut-offs for various ethnic groups are necessary because of differences in body composition. The purpose of this study was to develop waist circumference percentiles for Chinese children and to explore optimal waist circumference cut-off values for predicting cardiovascular risk factors clustering in this population. Met...

  4. Optimal Waist Circumference Cut-off values for Identifying Metabolic Risk Factors in Middle-aged and Elderly Subjects in Shandong Province of China

    Institute of Scientific and Technical Information of China (English)

    HOU Xin Guo; ZHANG Xiu Ping; JIANG Mei; WANG Wei Qing; NING Guang; ZHENG Hui Zhen; MA Ai Xia; SUN Yu; SONG Jun; LIN Peng; LIANG Kai; WANG Chuan; LIU Fu Qiang; LI Wen Juan; XIAO Juan; GONG Lei; WANG Mei Jian; LIU Ji Dong; YAN Fei; YANG Jun Peng; WANG Ling Shu; TIAN Meng; MA Ze Qiang; ZHAO Ru Xing; JIANG Ling; CHEN Li; YANG Wei Fang; WANG Ji Xiang; LI Cheng Qiao; WANG Yu Lian; LIU Shu Min; Hu Xiu Ping

    2014-01-01

    Objective To study the optimal waist circumference (WC) cut-off values for identifying metabolic risk factors in middle-aged and elderly subjects in Shandong Province of China. Methods A total of 2 873 men and 5 559 women were included in this cross-sectional study. Metabolic syndrome (MetS) was diagnosed according to the definition of Chinese Diabetes Society in 2004. The relation between WC and MetS was analyzed by multivariate logistic regression analysis. The optimal WC cut-off values were identified using the area under the ROC curve and the different diagnostic criteria for central obesity were compared. Results The WC was the risk factor for MetS independent of BMI, blood glucose, blood lipid, and blood pressure. The optimal WC cut-off value was 83.8 cm and 91.1 cm for identifying MetS in women and men, respectively. Compared with 80 cm and 85 cm for women and men, 85 cm and 90 cm had a higher Youden index for identifying all metabolic risk factors and MetS in women and men. Conclusion The appropriate WC cut-off value is 85 cm and 90 cm for identifying central obesity and MetS in women and men in Shandong Province of China.

  5. Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China

    Institute of Scientific and Technical Information of China (English)

    ZHOU Hai Cheng; TIAN Hao Ming; JI Qiu He; ZHU Da Long; CHEN Li; GUO Xiao Hui; ZHAO Zhi Gang; Li Qiang; ZHOU Zhi Guang; GE Jia Pu; SHAN Guang Liang; LAI Ya Xin; SHAN Zhong Yan; JIA Wei Ping; YANG Wen Ying; LU Ju Ming; WENG Jian Ping; JI Li Nong; LIU Jie

    2014-01-01

    Objective To study the effectiveness of waist circumference cut-off values in predicting the prevalence of metabolic syndrome (MetS) and risk factors in adults in China. Methods A cross-sectional survey was condcuted in 14 provinces (autonomous region, municipality) in China. A total of 47 325 adults aged ≥20 years were selected by multistage stratified sampling, and questionnaire survey and physical and clinical examination were conducted among them. MetS was defined according to the International Diabetes Federation (IDF) criteria and modified IDF criteria. Results The age-standardized prevalence of MetS was 24.2%(22.1%in men and 25.8%in women) and 19.5% (22.1% in men and 18.0% in women) according to the IDF criteria and modified IDF criteria respectively. The age-standardized prevalence of pre-MetS was 8.1%(8.6%in men and 7.8%in women) according to the modified IDF criteria. The prevalence of MetS was higher in urban residents than rural residents and in northern China residents than in southern China residents. The prevalence of central obesity was about 30% in both men and women according to the ethnicity-specific cut-off values of waist circumference for central obesity (90 cm for men and 85 cm for women). Multivariate regression analysis revealed no significant difference in risk factors between the two MetS definitions. Conclusion Using both the modified IDF criteria and ethnicity-specific cut-off values of waist circumference can provide more useful information about the prevalence of MetS in China.

  6. Determining cut-off values for neck circumference as a measure of the metabolic syndrome amongst a South African cohort: the SABPA study

    OpenAIRE

    Hoebel, Svelka; Malan, Leone; Van Ridder, Johannes Hendrik

    2012-01-01

    The aim was to determine receiver operating characteristic (ROC) neck circumference (NC) cut offs best associated with the metabolic syndrome (MetS) in a South African cohort. We included 409 urban Africans and Caucasians and stratified them into gender and age groups (25–45 years; 45–65 years). Measurements included anthropometric, fasting overnight urine and biological markers for the MetS (systolic and diastolic blood pressure, glucose, triglycerides, and high density lipoprotein). ROC ana...

  7. Determining cut-off values for neck circumference as a measure of the metabolic syndrome amongst a South African cohort: the SABPA study.

    Science.gov (United States)

    Hoebel, S; Malan, L; de Ridder, J H

    2012-10-01

    The aim was to determine receiver operating characteristic (ROC) neck circumference (NC) cut offs best associated with the metabolic syndrome (MetS) in a South African cohort. We included 409 urban Africans and Caucasians and stratified them into gender and age groups (25-45 years; 45-65 years). Measurements included anthropometric, fasting overnight urine and biological markers for the MetS (systolic and diastolic blood pressure, glucose, triglycerides, and high density lipoprotein). ROC analysis determined pathological (NC) cut-points of 39 and 35 cm for young and older African men; 32 and 35 cm for young and old African women; 40 and 41 cm for Caucasian men; 34 and 33 cm for Caucasian women. Pathological NC cut-points significantly predicted MetS in all ethnic-gender-age groups except in African women (ORs 2.3-5.4; 95% CI 1.36-16.5). Multiple regression analyses revealed that MetS prevalence and ROC cut-points were not associated with renal impairment in any groups. ROC NC cut-points demonstrated that NC may be used as an additional anthropometric marker to predict the MetS in a South African cohort but not in African women.

  8. Predictive Values of Body Mass Index and Waist Circumference for Risk Factors of Certain Related Diseases in Chinese Adults - Study on Optimal Cut-off Points of Body Mass Index and Waist Circumference in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    For prevention of obesity in Chinese population, it is necessary to define the optimal range of healthy weight and the appropriate cut-off points of BMI and waist circumference for Chinese adults. The Working Group on Obesity in China under the support of International Life Sciences Institute Focal point in China organized a meta-analysis on the relation between BMI, waist circumference and risk factors of related chronic diseases (e. g.,high diabetes, diabetes mellitus, and lipoprotein disorders). Methods 13 population studies in all met the criteria for enrollment, with data of 239 972 adults (20-70 year) surveyed in the 1990s. Data on waist circumference was available for 111411 persons and data on serum lipids and glucose were available for more than 80 000. The study populations located in 21provinces, municipalities and autonomous regions in mainland China as well as in Taiwan. Each enrolled study provided data according to a common protocol and uniform format. The Center for data management in Department of Epidemiology, Fu Wai Hospital was responsible for statistical analysis. Results and conclusion The prevalence of hypertension, diabetes, dyslipidemia and clustering of risk factors all increased with increasing levels of BMI or waist circumference. BMI at 24 with best sensitivity and specificity for identification of the risk factors, was recommended as the cut-off point for overweight, BMI at 28 which may identify the risk factors with specificity around 90 % was recommended as the cut-off point for obesity. Waist circumference beyond 85 cm for men and beyond 80 cm for women were recommended as the cut-off points for central obesity.Analysis of population attributable risk percent illustrated that reducing BMI to normal range (<24) could prevent 45%-50% clustering of risk factors. Treatment of obese persons (BMI ≥ 28)with drugs could prevent 15%-17% clustering of risk factors. The waist circumference controlled under 85 cm for men and under 80 cm for

  9. Hemoglobin cut-off values in healthy Turkish infants

    Institute of Scientific and Technical Information of China (English)

    Ahmet Arvas; Emel Gür; DurmuşDoğan

    2014-01-01

    Background: Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality. This study was undertaken to determine the cut-off value of hemoglobin for infant anemia. Methods: A cross-sectional retrospective study was carried out at well-baby clinics of a tertiary care hospital. A total of 1484 healthy infants aged between 4 to 24 months were included in the study. The relationship of hemoglobin (Hb) levels with mother age, birth weight, weight gain rate, feeding, and gender was evaluated. Results: The Hb levels were assessed in four age groups (4 months, 6 months, 9-12 months, and 15-24 months) and the cut-off values of Hb were determined. Hb cut-off values (5th percentile for age) were detected as 97 g/L and 93 g/L at 4 months and 6 months, respectively. In older infants, the 5th percentile was 90.5 g/L and 93.4 g/L at 9-12 months and 15-24 months, respectively. The two values were lower than the World Health Organization criteria for anemia, which could partly due to the lack of information on iron status in our population. However, this difference highlights the need for further studies on normal Hb levels in healthy infants in developing countries. Hb levels of females were higher in all age groups; however, a statistically significant difference was found in gender in only 6 month-old infants. No statistically significant difference was found among Hb levels, mother's age, birth weight, weight gain rate, and nutritional status. Conclusion: Hb cut-off values in infants should be re-evaluated and be compatible with growth and development of children in that community.

  10. Waist circumference cut-off in relation to body mass index and percentage of body fat in adult women from Merida, Mexico.

    Science.gov (United States)

    Datta Banik, Sudip; Dickinson, Federico

    2015-01-01

    Waist circumference (WC) as an index of central obesity is related to body mass index (BMI) and percent body fat (PBF). Waist circumference data were analyzed to identify a WC cut-off for adult women with respect to BMI-based obesity (≥ 30 kg/m²) and PBF. The sample was 138 women aged 22 to 41 years with Maya ancestry (based on surnames) in Merida, Yucatan, measured during 2011 - 2013. Anthropometric parameters included height, body weight (BW), and BMI. The PBF was estimated by bioelectrical impedance. Estimated cut-offs per centimeter WC (80 - 99 cm) were predicted by BMI for obesity (≥ 30 kg m⁻²; binomial: Yes = 1, No = 0) and PBF (continuous variable) using binary logistic regression analyses. Mean age was 32 years, mean BMI was 29 kg m(-2) and mean WC was 89 cm. The sample exhibited high PBF (44 %), and high rates of overweight (44%) and obesity (40%). The threshold WC (≥ 93 cm) had high sensitivity (80%), specificity (82%), Youden Index value (0.62), and correct classification rate (82%). The area under the receiver operating characteristic curve was 88 %. The WC ≥ 93 cm cut-off had corresponding values for mean BMI (34 kg m⁻²) and PBF (47%). The optimal WC cut-off at 93 cm significantly identified central obesity for BMI ≥ 30 kg m⁻² and PBF for this sample.

  11. Transferring Cut-off Values between Assays for Cerebrospinal Fluid Alzheimer's Disease Biomarkers

    OpenAIRE

    Garcia Barrado, Leandro; Coart, Els; Vanderstichele, Hugo M. J.; Burzykowski, Tomasz

    2015-01-01

    Current technologies quantifying cerebrospinal fluid biomarkers to identify subjects with Alzheimer's disease pathology report different concentrations in function of technology and suffer from between-laboratory variability. Hence, lab- and technology-specific cut-off values are required. It is common practice to establish cut-off values on small datasets and, in the absence of well-characterized samples, to transfer the cut-offs to another assay format using 'side-by-side' testing of sample...

  12. Explaining the use of attribute cut-off values in decision making by means of involvement

    DEFF Research Database (Denmark)

    Peschel, Anne O.; Grebitus, Carola; Colson, Gregory

    2016-01-01

    evidence on consumers’ heterogeneous use of attribute cut-offs with a unique focus on the relationship with consumer involvement, a key component in consumer choice theory. Behavioral data from an online choice experiment on beef steak employing shelf simulations are combined with questions defining...... respondents’ attribute cut-off values and their validated Personal Involvement Inventory (PII). Evidence from the analysis indicates that consumers who are highly involved are more likely to exhibit attribute cut-off values and are less likely to violate their cut-off values. Further investigation using...... a latent class model identifies several key consumer segments (e.g., a price sensitive group) based on their choice behavior and reveals that the relationship between involvement, cut-off use and cut-off violations is not uniform across consumer segments....

  13. Cut-Off Values of Visceral Adiposity to Predict NAFLD in Brazilian Obese Adolescents

    Directory of Open Access Journals (Sweden)

    Ana Paula Grotti Clemente

    2013-01-01

    Full Text Available Objectives. The present study aimed at determining cut-off points of visceral fat to predict NAFLD and analyzed metabolic disorders of obese adolescents. Methods. Cross-sectional study involved 165 obese adolescents ranged in age from 15 to 19 years. Glycemia, hepatic transaminases, lipid profile, and insulin resistance were analyzed. Visceral and subcutaneous fat were measured by ultrasound and body composition by plesthysmography. Results. The NAFLD adolescents had significantly higher values for body mass, BMI-for-age, BMI, total fat, waist circumference, and visceral fat when compared with non-NAFLD obese adolescents in both genders. Moreover, there were significant positive correlations between visceral fat with the variables BMI-for-age (r=0.325,, TG (r=0.277, AST (r=0.509, ALT (r=0.519, WC (r=0.390, and visceral/subcutaneous ratio (r=0.790 for NAFLD group. Total fat, triglycerides, and visceral fat were the independent predictors to NAFLD. Analysis of the ROC curves revealed cut-off points of visceral fat of 4.47 cm for girls and 4.21 cm for boys. Conclusions. The results may suggest that abdominal ultrasonography procedure may be a safe alternative method of assessing visceral adiposity aiming to be considered to the development of preventive and treatment strategies in obese individuals. This clinial trial is registered with ClinicalTrial.gov (NCT01358773.

  14. Epidemiological cut-off values for Flavobacterium psychrophilum MIC data generated by a standard test protocol

    DEFF Research Database (Denmark)

    Smith, P.; Endris, R.; Kronvall, G.;

    2016-01-01

    Epidemiological cut-off values were developed for application to antibiotic susceptibility data for Flavobacterium psychrophilum generated by standard CLSI test protocols. The MIC values for ten antibiotic agents against Flavobacterium psychrophilum were determined in two laboratories. For five a...

  15. Anthropometric parameters’ cut-off points and predictive value for metabolic syndrome in women from Cartagena, Colombia

    Directory of Open Access Journals (Sweden)

    Gustavo José Mora-García

    2014-03-01

    Full Text Available Objective. To estimate anthropometric parameters’ (APs cut-off points and association for metabolic syndrome (MetS. Materials and methods. A cross-sectional study was carried out with a total of 434 adult women from Cartagena de Indias, Colombia, in 2012. APs measured were waist circumference (WC, body mass index (BMI, body adiposity index (BAI, waist-hip ratio (WHR and waist-height ratio (WHtR. Cut-off points were estimated by a receiver operating characteristic curve (ROC. Logistic regression was applied to estimate possible associations. Results. Cut-off points for WC, BMI, BAI, WHR and WHtR were 85 cm, 28 kg/m2, 39%, 0.80 and 56, respectively. Only WHtR was associated to MetS (OR=1.11, CI95% [1.07-1.15]. Conclusion. WC cut-off point was higher than those proposed for Latin-American women by the Joint Interim Statement (JIS. WHtR had a low predictive value for MetS.

  16. Establishing streptomycin epidemiological cut-off values for Salmonella and Escherichia coli. Microbial Drug Resistance

    NARCIS (Netherlands)

    Garcia-Migura, L.; Sunde, M.; Karlsmose, S.; Veldman, K.T.; Schroeter, A.; Guerra, B.; Granier, S.A.; Perrin-Guyomard, A.; Gicquel-Bruneau, M.; Franco, A.; Englund, S.; Teale, C.; Heiska, H.; Clemente, L.; Boerlin, P.; Moreno, M.A.; Daignault, D.; Mevius, D.J.; Hendriksen, R.S.; Aarestrup, F.M.

    2012-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32¿mg/L were selected from 12 countries. Isolates we

  17. The Optimal Ethnic-Specific Waist-Circumference Cut-Off Points of Metabolic Syndrome among Low-Income Rural Uyghur Adults in Far Western China and Implications in Preventive Public Health.

    Science.gov (United States)

    He, Jia; Ma, Rulin; Liu, Jiaming; Zhang, Mei; Ding, Yusong; Guo, Heng; Mu, Lati; Zhang, Jingyu; Wei, Bin; Yan, Yizhong; Ma, Jiaolong; Pang, Hongrui; Li, Shugang; Guo, Shuxia

    2017-02-08

    Background: Metabolic syndrome is pandemic; however, the cut-off values for waist circumference (WC) vary widely depending on the ethnic groups studied and the criteria applied for WC measurement. Previous studies for defining optimal WC cut-off points included high-income and urban settings, and did not cover low-income, rural settings, especially for ethnic minorities. This study aimed at defining optimal ethnic-specific WC cut-off points in a low-income, rural population comprising the largest inhabitant minority group residing in far Western China. Methods: Questionnaire-based surveys, physical examinations, and blood testing of 3542 individuals were conducted in 2010, using a stratified cluster random sampling method in rural Uyghur residents (≥18 years old) from 12 villages in Xinjiang, China, approximately 4407 km away from the capital city, Beijing. Metabolic syndrome was defined according to the International Diabetes Federation (IDF) criteria. Optimal, ethnic-specific WC cut-off values for diagnosing metabolic syndrome were determined using receiver operator characteristic (ROC) curve analysis. Results: As WC increased, there was a significant, increasing trend of detection and risk in rural Uyghur adults, regardless of the presence of ≥1 or ≥2 components of metabolic syndrome by IDF criteria. The optimal ethnic-specific WC cut-off point to predict the presence of metabolic syndrome was 85 cm for men and 82 cm for women. With these cut-off points, the prevalence rates of metabolic syndrome among men, women, and overall population in Uyghur adults were 19.5%, 23.0%, and 21.3%, respectively. Conclusions: We report a high prevalence of metabolic syndrome, especially in women, among rural Uyghurs in Western China. A WC cut-off of 85 cm in men and 82 cm in women was the best predictor of metabolic syndrome in this population. Because of the cost-effectiveness in measuring WC, we recommend that these WC cut-off points be integrated into local preventive

  18. The Optimal Ethnic-Specific Waist-Circumference Cut-Off Points of Metabolic Syndrome among Low-Income Rural Uyghur Adults in Far Western China and Implications in Preventive Public Health

    Directory of Open Access Journals (Sweden)

    Jia He

    2017-02-01

    Full Text Available Background: Metabolic syndrome is pandemic; however, the cut-off values for waist circumference (WC vary widely depending on the ethnic groups studied and the criteria applied for WC measurement. Previous studies for defining optimal WC cut-off points included high-income and urban settings, and did not cover low-income, rural settings, especially for ethnic minorities. This study aimed at defining optimal ethnic-specific WC cut-off points in a low-income, rural population comprising the largest inhabitant minority group residing in far Western China. Methods: Questionnaire-based surveys, physical examinations, and blood testing of 3542 individuals were conducted in 2010, using a stratified cluster random sampling method in rural Uyghur residents (≥18 years old from 12 villages in Xinjiang, China, approximately 4407 km away from the capital city, Beijing. Metabolic syndrome was defined according to the International Diabetes Federation (IDF criteria. Optimal, ethnic-specific WC cut-off values for diagnosing metabolic syndrome were determined using receiver operator characteristic (ROC curve analysis. Results: As WC increased, there was a significant, increasing trend of detection and risk in rural Uyghur adults, regardless of the presence of ≥1 or ≥2 components of metabolic syndrome by IDF criteria. The optimal ethnic-specific WC cut-off point to predict the presence of metabolic syndrome was 85 cm for men and 82 cm for women. With these cut-off points, the prevalence rates of metabolic syndrome among men, women, and overall population in Uyghur adults were 19.5%, 23.0%, and 21.3%, respectively. Conclusions: We report a high prevalence of metabolic syndrome, especially in women, among rural Uyghurs in Western China. A WC cut-off of 85 cm in men and 82 cm in women was the best predictor of metabolic syndrome in this population. Because of the cost-effectiveness in measuring WC, we recommend that these WC cut-off points be integrated into

  19. Establishing Streptomycin Epidemiological Cut-Off Values for Salmonella and Escherichia coli

    DEFF Research Database (Denmark)

    Migura, Lourdes Garcia; Sunde, Marianne; Karlsmose, Susanne

    2011-01-01

    This study was conducted to elucidate the accuracy of the current streptomycin epidemiological cut-off value (ECOFF) for Escherichia coli and Salmonella spp. A total of 236 Salmonella enterica and 208 E. coli isolates exhibiting MICs between 4 and 32 mg/L were selected from 12 countries. Isolates...... were investigated by polymerase chain reaction for aadA, strA, and strB streptomycin resistance genes. Out of 236 Salmonella isolates, 32 (13.5%) yielded amplicons for aadA (n = 23), strA (n = 9), and strB (n = 11). None of the 60 Salmonella isolates exhibiting MIC 4 mg/L harbored resistance genes....... Of the Salmonella isolates exhibiting MICs 8 mg/L, 16 mg/L, and 32 mg/L, 1.6%, 15%, and 39%, respectively, tested positive for one or more genes. For most monitoring programs, the streptomycin ECOFF for Salmonella is wild type (WT) ≤32 or ≤16 mg/L. A cut-off value of WT ≤32 mg/L would have misclassified 13...

  20. Influence of Different Cut-Off Values on the Diagnosis of Mild Cognitive Impairment in Parkinson's Disease

    Directory of Open Access Journals (Sweden)

    Inga Liepelt-Scarfone

    2011-01-01

    Full Text Available Comparable to Alzheimer's disease, mild cognitive impairment in Parkinson's disease (PD-MCI is associated with an increased risk for dementia. However different definitions of PD-MCI may have varying predictive accuracy for dementia. In a cohort of 101 nondemented Parkinson patients who underwent neuropsychological testing, the frequency of PD-MCI subjects and PD-MCI subtypes (i.e., amnestic/nonamnestic was determined by use of varying healthy population-based cut-off values. We also investigated the association between defined PD-MCI groups and ADL scales. Varying cut-off values for the definition of PD-MCI were found to affect frequency of PD-MCI subjects (9.9%–92.1% and, maybe more important, lead to a “shift” of proportion of detected PD-MCI subtypes especially within the amnestic single-domain subtype. Models using a strict cut-off value were significantly associated with lower ADL scores. Thus, the use of defined cut-off values for the definition of PD-MCI is highly relevant for comparison purposes. Strict cut-off values may have a higher predictive value for dementia.

  1. The Cut-off Values of Triglycerides and Glucose Index for Metabolic Syndrome in American and Korean Adolescents.

    Science.gov (United States)

    Moon, Shinje; Park, Joon Sung; Ahn, Youhern

    2017-03-01

    The aim of this study was to establish ethnic- and gender-specific cut-off values of triglycerides and glucose index (TyG index) for clinical usefulness in a representative sample of Mexican American, Non-Hispanic White, Non-Hispanic Black, and Korean adolescents. The data were collected from datasets of the National Health and Nutrition Examination Survey between 1999 and 2012, and the Korean National Health and Nutrition Examination Survey between 2005 and 2013. Receiver operating characteristic curve analysis was used to find valid cut-off values of the TyG index for metabolic syndrome. The total number of eligible participants was 3,164 in the US and 4,873 in Korea. The optimal cut-off value with the Cook et al. definition revealed 8.55 in Mexican American, 8.55 in Non-Hispanic White, 8.35 in Non-Hispanic Black, and 8.45 in Korean, respectively. The cut-off value with the de Ferranti et al. definition was 8.45, 8.45, 8.15, and 8.35, and the cut-off value with the International Diabetes Federation definition was 8.65, 8.65, 8.15, and 8.55, respectively. These findings may be clinically useful for evaluating insulin resistance for determining metabolic abnormalities in adolescents.

  2. Explaining the use of attribute cut-off values in decision making by means of involvement

    DEFF Research Database (Denmark)

    Peschel, Anne Odile; Grebitus, Carola; Colson, Gregory;

    2016-01-01

    evidence on consumers’ heterogeneous use of attribute cut-offs with a unique focus on the relationship with consumer involvement, a key component in consumer choice theory. Behavioral data from an online choice experiment on beef steak employing shelf simulations are combined with questions defining...... a latent class model identifies several key consumer segments (e.g., a price sensitive group) based on their choice behavior and reveals that the relationship between involvement, cut-off use and cut-off violations is not uniform across consumer segments....

  3. Sensitivity and Specificity Improvement in Abdominal Obesity Diagnosis Using Cluster Analysis during Waist Circumference Cut-Off Point Selection

    OpenAIRE

    Valmore Bermúdez; Joselyn Rojas; Juan Salazar; Roberto Añez; Alexandra Toledo; Luis Bello; Vanessa Apruzzese; Robys González; Maricarmen Chacín; Mayela Cabrera; Clímaco Cano; Manuel Velasco; José López-Miranda

    2015-01-01

    Introduction. The purpose of this study was to analyze the influence of metabolic phenotypes during the construction of ROC curves for waist circumference (WC) cutpoint selection. Materials and Methods. A total of 1,902 subjects of both genders were selected from the Maracaibo City Metabolic Syndrome Prevalence Study database. Two-Step Cluster Analysis (TSCA) was applied to select metabolically healthy and sick men and women. ROC curves were constructed to determine WC cutoff points by gender...

  4. Susceptibility profile and epidemiological cut-off values of Cryptococcus neoformans species complex from Argentina.

    Science.gov (United States)

    Córdoba, Susana; Isla, Maria G; Szusz, Wanda; Vivot, Walter; Altamirano, Rodrigo; Davel, Graciela

    2016-06-01

    Epidemiological cut-off values (ECVs) based on minimal inhibitory concentration (MIC) distribution have been recently proposed for some antifungal drug/Cryptococcus neoformans combinations. However, these ECVs vary according to the species studied, being serotypes and the geographical origin of strains, variables to be considered. The aims were to define the wild-type (WT) population of the C. neoformans species complex (C. neoformans) isolated from patients living in Argentina, and to propose ECVs for six antifungal drugs. A total of 707 unique C. neoformans isolates obtained from HIV patients suffering cryptococcal meningitis were studied. The MIC of amphotericin B, flucytosine, fluconazole, itraconazole, voriconazole and posaconazole was determined according to the EDef 7.2 (EUCAST) reference document. The MIC distribution, MIC50 , MIC90 and ECV for each of these drugs were calculated. The highest ECV, which included ≥95% of the WT population modelled, was observed for flucytosine and fluconazole (32 μg ml(-1) each). For amphotericin B, itraconazole, voriconazole and posaconazole, the ECVs were: 0.5, 0.5, 0.5 and 0.06 μg ml(-1) respectively. The ECVs determined in this study may aid in identifying the C. neoformans strains circulating in Argentina with decreased susceptibility to the antifungal drugs tested.

  5. Accuracy of Cameriere's cut-off value for third molar in assessing 18 years of age.

    Science.gov (United States)

    De Luca, S; Biagi, R; Begnoni, G; Farronato, G; Cingolani, M; Merelli, V; Ferrante, L; Cameriere, R

    2014-02-01

    Due to increasingly numerous international migrations, estimating the age of unaccompanied minors is becoming of enormous significance for forensic professionals who are required to deliver expert opinions. The third molar tooth is one of the few anatomical sites available for estimating the age of individuals in late adolescence. This study verifies the accuracy of Cameriere's cut-off value of the third molar index (I3M) in assessing 18 years of age. For this purpose, a sample of orthopantomographs (OPTs) of 397 living subjects aged between 13 and 22 years (192 female and 205 male) was analyzed. Age distribution gradually decreases as I3M increases in both males and females. The results show that the sensitivity of the test was 86.6%, with a 95% confidence interval of (80.8%, 91.1%), and its specificity was 95.7%, with a 95% confidence interval of (92.1%, 98%). The proportion of correctly classified individuals was 91.4%. Estimated post-test probability, p was 95.6%, with a 95% confidence interval of (92%, 98%). Hence, the probability that a subject positive on the test (i.e., I3Mage or older was 95.6%.

  6. Exploration of the optimal diameter cut-off value in patients with nonfunctional adrenal tumor suitable for surgery

    Directory of Open Access Journals (Sweden)

    Dan-dan LIU

    2016-12-01

    Full Text Available Objective  To analyze the pathology of the patients with nonfunctional adrenal tumor (NFA, and explore the optimal diameter cut-off value. Methods  The clinical data of 243 patients with NFA, evaluated in the Department of Endocrinology and operated in the Department of Urology of General Hospital of Chinese PLA from Feb. 1996 to Jan. 2016, were collected. The patients were divided into two groups according to pathology: those in real demand of surgery were classified to the surgery-need group (n=57, while the others were categorized as the surgery-unwanted group (n=186. The general situation, pathological type and tumor diameter of the two groups and the factors affecting the surgery were analyzed, and the ROC curve was used to explore the optimal surgery cut-off value, which represents the maximum value of the sum of sensitivity and specificity. Results  Of the 57 patients in surgery-need group (27 males and 30 females, the lesions were on the right in 31 cases, on the left in 25 cases, and on bilateral sides in 1 case; the median of lesion diameter was 4.5cm, and the average age was 41.5±12.1 years old. Of the 186 patients in surgery-unwanted group (87 males and 99 females, the lesions were on the right in 99 cases, on the left in 86 cases, and on bilateral sides in 1 case; the median of lesion diameter was 3.0cm, and the average age was 50.6±10.9 years old. Logistic regression revealed that lesion diameter might be a risk factor (OR=1.340, 95%CI 1.266-1.418, P=0.000 and age be a protective factor (OR=0.942, 95%CI 0.929-0.955, P=0.000 for real demand of surgery. The area under the ROC curve (AUC of lesion diameter was 0.757(95%CI 0.681-0.833. The optimal cut-off value was 4.1cm (sensitivity 60.7% and specificity 83.0%. Conclusions  Younger patients with bigger lesion diameter may have greater possibility for surgery. The optimal surgery cut-off value of the lesion diameter is 4.1cm. DOI: 10.11855/j.issn.0577-7402.2016.11.11

  7. Gestational Age-specific Cut-off Values Are Needed for Diagnosis of Subclinical Hypothyroidism in Early Pregnancy.

    Science.gov (United States)

    Kim, Hye Sung; Kim, Byoung Jae; Oh, Sohee; Lee, Da Young; Hwang, Kyu Ri; Jeon, Hye Won; Lee, Seung Mi

    2015-09-01

    During the first trimester of pregnancy, thyroid-stimulating hormone (TSH) >2.5 mIU/L has been suggested as the universal criterion for subclinical hypothyroidism. However, TSH levels change continuously during pregnancy, even in the first trimester. Therefore the use of a fixed cut-off value for TSH may result in a different diagnosis rate of subclinical hypothyroidism according to gestational age. The objective of this study was to obtain the normal reference range of TSH during the first trimester in Korean gravida and to determine the diagnosis rate of subclinical hypothyroidism using the fixed cut-off value (TSH >2.5 mIU/L). The study population consisted of pregnant women who were measured for TSH during the first trimester of pregnancy (n=492) and nonpregnant women (n=984). Median concentration of TSH in pregnant women was lower than in non-pregnant women. There was a continuous decrease of median TSH concentration during the first trimester of pregnancy (median TSH concentration: 1.82 mIU/L for 3+0 to 6+6 weeks; 1.53 mIU/L for 7+0 to 7+6 weeks; and 1.05 mIU/L for 8+0 to 13+6 weeks). Using the fixed cut-off value of TSH >2.5 mIU/L, the diagnosis rate of subclinical hypothyroidism decreased significantly according to the gestational age (GA) at TSH (25% in 3+0 to 6+6 weeks, 13% in 7+0 to 7+6 weeks, and 9% for 8+0 to 13+6 weeks, Phypothyroidism.

  8. Bronchodilator response cut-off points and FEV 0.75 reference values for spirometry in preschoolers

    Science.gov (United States)

    Burity, Edjane Figueiredo; Pereira, Carlos Alberto de Castro; Jones, Marcus Herbert; Sayão, Larissa Bouwman; de Andrade, Armèle Dornelas; de Britto, Murilo Carlos Amorim

    2016-01-01

    ABSTRACT Objective: To determine the cut-off points for FEV1, FEV0.75, FEV0.5, and FEF25-75% bronchodilator responses in healthy preschool children and to generate reference values for FEV0.75. Methods: This was a cross-sectional community-based study involving children 3-5 years of age. Healthy preschool children were selected by a standardized questionnaire. Spirometry was performed before and after bronchodilator use. The cut-off point of the response was defined as the 95th percentile of the change in each parameter. Results: We recruited 266 children, 160 (60%) of whom were able to perform acceptable, reproducible expiratory maneuvers before and after bronchodilator use. The mean age and height were 57.78 ± 7.86 months and 106.56 ± 6.43 cm, respectively. The success rate for FEV0.5 was 35%, 68%, and 70% in the 3-, 4-, and 5-year-olds, respectively. The 95th percentile of the change in the percentage of the predicted value in response to bronchodilator use was 11.6%, 16.0%, 8.5%, and 35.5% for FEV1, FEV0.75, FEV0.5, and FEF25-75%, respectively. Conclusions: Our results provide cut-off points for bronchodilator responsiveness for FEV1, FEV0.75, FEV0.5, and FEF25-75% in healthy preschool children. In addition, we proposed gender-specific reference equations for FEV0.75. Our findings could improve the physiological assessment of respiratory function in preschool children. PMID:27812631

  9. Different diagnostic cut-off values of urinary fractionated metanephrines according to sex for the diagnosis of pheochromocytoma in Korean subjects.

    Science.gov (United States)

    Sohn, Seo Young; Park, Hyung Doo; Lee, Soo Youn; Kim, Jung Han; Jung, Byong Chang; Kim, Hye Jeong; Jang, Hye Won; Kim, Kwang Won; Lee, Moon Kyu; Min, Yong Ki; Kim, Jae Hyeon

    2012-01-01

    The diagnosis of pheochromocytoma depends on the documentation of catecholamine overproduction. The use of urinary fractionated metanephrines has recently become common for the diagnosis of pheochromocytoma. In order to avoid false positive and false negative results, optimal cut-off levels are necessary; however, there have been few published reports on whether different cut-off levels are needed to diagnose pheochromocytoma according to sex. We reviewed the medical records of 815 subjects (including 103 pheochromocytoma patients) whose of 24-h urinary fractionated metanephrine was measured using high-performance liquid chromatography methods and adrenal imaging at Samsung Medical Center. Receiver operating characteristic (ROC) curves were used to determine cut-off values according to sex. The upper limit values of fractionated metanephrine in healthy volunteers and the control group were significantly higher in male subjects compared with females. When we applied cut-off values according to sex, the diagnostic efficacies (defining a positive test as either metanephrine or normetanephrine levels above the cut-off value) were a sensitivity of 96% in male subjects and 98.1% in female subjects and a specificity of 88.6% in male subjects and 94.1% in female subjects. However, when we applied cut-off values without considering sex, the specificity decreased from 88.6% to 77.8% in male subjects. In this study, urinary fractionated metanephrines had a high level of sensitivity and specificity for the diagnosis of pheochromocytoma. However, diagnostic cut-off values were higher in male subjects than in female subjects. Therefore, different cut-off values may be needed according to sex to diagnose pheochromocytoma in Koreans.

  10. Elevated d-dimer cut-off values for computed tomography pulmonary angiography—d-dimer correlates with location of embolism

    Science.gov (United States)

    Kubak, Mateuzs Piotr; Borthne, Arne; Ruud, Espen Asak; Ashraf, Haseem

    2016-01-01

    Background Acute pulmonary embolism (APE) is a potentially fatal condition, and making a timely diagnosis can be challenging. Computed tomography pulmonary angiography (CTPA) has become the modality of choice, and this contributes to the increasing load on emergency room CT scanners. Our purpose was to investigate whether an elevated d-dimer cut-off could reduce the demand for CTPA while maintaining a high sensitivity and negative predictive value (NPV). Methods We retrospectively reviewed all patients referred for CTPA with suspicion of APE in 2012, and collected d-dimer values and CTPA results. We investigated the diagnostic performance of d-dimer using a 0.5 mg/L cut-off and an age adjusted cut-off. We also evaluated a new and elevated cut-off. Cases were categorized according to their CTPA result into: no embolism, peripheral embolism, lobar embolism and central embolism. Finally we investigated a possible correlation between d-dimer values and location of embolism. Results We included 1,051 CTPAs, from which 216 (21%) showed pulmonary embolism. There were concomitant d-dimer analyses in 822 CTPA examinations. The current 0.5 mg/L cut-off achieved a sensitivity and NPV of 99%. The age-adjusted cut-off achieved a sensitivity and NPV of 98%, and our suggested cut-off of 0.9 mg/L achieved a sensitivity and NPV of 97%. Conclusions We conclude that the elevated d-dimer cut-off of 0.9 mg/L achieved a high sensitivity and NPV, while reducing the number of CTPA by 27%. The correlation between d-dimer values and location of embolisms supports the suggestion of an elevated d-dimer value. PMID:27386486

  11. Accuracy of cut-off value by measurement of third molar index: Study of a Colombian sample.

    Science.gov (United States)

    De Luca, Stefano; Aguilar, Lina; Rivera, Marcela; Palacio, Luz Andrea Velandia; Riccomi, Giulia; Bestetti, Fiorella; Cameriere, Roberto

    2016-04-01

    The aim of this cross-sectional study was to test the accuracy of cut-off value of 0.08 by measurement of third molar index (I3M) in assessing legal adult age of 18 years in a sample of Colombian children and young adults. Digital orthopantomographs of 288 Colombian children and young adults (163 girls and 125 boys), aged between 13 and 22 years, were analysed. Concordance correlation coefficient (ρc) and κ statistics (Cohen's Kappa coefficient) showed that repeatability and reproducibility are high for both intra- and inter-observer error. κ statistics for intra- and inter-observer agreement in decision on adult or minor was 0.913 and 0.877, respectively. Age distribution gradually decreases as I3M increases in both girls and boys. For girls, the sensitivity test was 95.1% (95% CI 87.1%-95%) and specificity was 93.8% (95% CI 87.1%-98.8%). The proportion of correctly classified individuals was 95.1%. For boys, the sensitivity test was 91.7% (95% CI 85.1%-96.8%) and specificity was 90.6% (95% CI 82.1%-97.8%). The proportion of correctly classified individuals was 89.7%. The cut-off value of 0.08 is highly useful to determine if a subject is 18 years of age or older or not.

  12. 中国哈萨克族成人代谢综合征腰围适宜切点研究%The optimum cut-off points of waist circumference for identifying metabolic syndrome in Kazak adults

    Institute of Scientific and Technical Information of China (English)

    高静; 王宁; 王建疆; 娜孜姑丽; 谢自敬; 毛新民; 李琳琳

    2010-01-01

    探讨哈萨克族成人代谢综合征(MS)诊断的腰围适宜切点.选取2 052例哈萨克族成人,依据国际糖尿病联盟标准,检出两个以上MS组分的假阳性和假阴性率均较低的腰围切点为男性≥99 cm,女性≥88 cm.建议哈萨克族成人以此切点作为MS的检出标准.%The optimum cut-off point of waist circumference for identifying metabolic syndrome(MS)in Kazak was investigated.Based on Internationul Diabetes Eederation.2052 Kazak adults were analysed.At the cut-off point of waist circumference(≥199 cm for men,≥88 cm for women),the rates of false positive and negative for identifying MS were reduced to a minimum.The two cut-off points were possibly appropriate for identifying MS in Kazak.

  13. Metabolic syndrome: no internationally defined standard cut-off value for waist circumference

    Institute of Scientific and Technical Information of China (English)

    Olabode Oladeinde

    2007-01-01

    @@ The metabolic syndrome (MS) is a cluster of interrelated risk factors of metabolic origin - metabolic risk factors that appear to directly promote the development of atherosclerotic cardiovascular disease and increase the risk of development of type 2 diabetes.

  14. Cut-off values of waist circumference to predict metabolic syndrome in obese adolescents.

    Science.gov (United States)

    Masquio, Deborah Cristina Landi; Ganen, Aline de Piano; Campos, Raquel Munhoz da Silveira; Sanches, Priscila de Lima; Corgosinho, Flávia Campos; Caranti, Danielle; Tock, Lian; de Mello, Marco Túlio; Tufik, Sergio; Dâmaso, Ana R

    2015-04-01

    Introducción: El síndrome metabólico es una constelación de alteraciones metabólicas relacionadas con la obesidad abdominal, la inflamación y la resistencia a la insulina, lo que aumenta las enfermedades cardiovasculares y la mortalidad. Los objetivos del presente estudio fueron determinar la prevalencia de comorbilidades y parámetros alterados en adolescentes obesos con y sin SM, y determinar los puntos de corte de la circunferencia de cintura para predecir SM. Métodos: 195 adolescentes obesos y se los dividió según síndrome metabólico diagnóstico basado en criterios de la IDF. Los análisis de sangre se midieron de glucosa, lípidos, enzimas hepáticas, la adiponectina y leptina. Resistencia a la insulina se evaluó mediante HOMA-IR, QUICKI y HOMA-AD. Se obtuvieron ecografía visceral, subcutánea y grasa hepática. La composición corporal se calcula por el sistema BOD POD. Resultados: Se observó una prevalencia del 25% de síndrome metabólico Mets (n = 50). El grupo grupo con síndrome metabólico presentó mayor masa corporal, índice de masa corporal, grasa corporal (kg), sin grasa masa significativa (kg), circunferencia de la cintura, la grasa visceral, la glucosa, la insulina, resistencia a la insulina, colesterol total, LDL-c, VLDL-c, triglicéridos, enzimas hepáticas, enfermedad no alcohólica del hígado graso (EHNA) y la presión arterial. Se observaron QUICKI significativamente menor y la adiponectina en el grupo con síndrome metabólico. El grupo con síndrome metabólico presentaron significativa proporción de leptina / adiponectina mayor en comparación con los que no tienen síndrome metabólico. Puntos de corte de 111,5 cm para los niños y 104,6 cm para las niñas de la circunferencia de cintura se sugirieron para predecir el síndrome metabólico. Además, la circunferencia de la cintura fue positivamente correlacionada con la grasa visceral y el número de parámetros del síndrome metabólico. Conclusión: El grupo con síndrome metabólico presentan alteraciones metabólicas significativas superiores e inflamación en comparación con el grupo sin síndrome metabólico. La circunferencia de cintura se considera un predictor medida antropométrica del síndrome metabólico en adolescentes obesos, siendo útil en la práctica clínica.

  15. Accuracy of a cut-off value based on the third molar index: Validation in an Australian population.

    Science.gov (United States)

    Franklin, Daniel; Karkhanis, Shalmira; Flavel, Ambika; Collini, Federica; DeLuca, Stefano; Cameriere, Roberto

    2016-09-01

    According to Recommendation N°196 of the Australian Law Reform Commission (ALRC), the age at which a child reaches adulthood for the purposes of criminal law should be 18 years in all Australian jurisdictions. With specific reference to age at majority, the only tooth with development spanning adolescence (and thus the legally relevant 18 years of age) is the third molar, which limits the number of methods that can be applied from those available in the published literature. The aim of the present study is to test the accuracy of the third molar index (I3M=0.08), based on the correlation between chronological age and normalized measures of the open apices and height of the third mandibular molar, in order to assess the legal adult age of 18 years. Digital orthopantomographs of 143 living Australian subjects (72 boys and 71 girls) are analyzed. The results demonstrate that the sensitivity is 0.90 in boys and 0.90 in girls; associated specificity values are 0.85 and 0.87 respectively. We conclude that the cut-off value of I3M=0.08 is statistically robust and thus valid for forensic application in an Australian population.

  16. Using an age-dependent D-dimer cut-off value increases the number of older patients in whom deep vein thrombosis can be safely excluded

    NARCIS (Netherlands)

    Douma, Renée A.; Tan, Melanie; Schutgens, Roger E.G.; Bates, Shannon M.; Perrier, Arnaud; Legnani, Cristina; Biesma, Douwe H.; Ginsberg, Jeffrey S.; Bounameaux, Henri; Palareti, Gualtiero; Carrier, Marc; Mol, Gerben C.; Le Gal, Grégoire; Kamphuisen, Pieter W.; Righini, Marc

    2012-01-01

    Background D-dimer testing to rule out deep vein thrombosis is less useful in older patients because of a lower specificity. An age-adjusted D-dimer cut-off value increased the proportion of older patients (>50 years) in whom pulmonary embolism could be excluded. We retrospectively validated the eff

  17. 蒙古族农牧民代谢综合征诊断的腰围切点观察%Observation of the cut-off point of waist circumference for diagnosing metabolic syndrome in Mongolian peasants and herdsmen

    Institute of Scientific and Technical Information of China (English)

    刘洋; 刘永跃; 王健; 阿尔斯楞; 李永山; 张永红; 佟伟军

    2011-01-01

    Objective To survey the cut-off point of waist circumference for diagnosing metabolic syndrome (MS) in Chinese Mongolian peasants and herdsmen. Methods Based on the IDF consensus worldwide definition of metabolic syndrome (2005), 2589 Mongolia adults aged over 20 years from agricultural and pastoral areas in Tongliao city were enrolled to analyze the Ors of the clustering of MS components at different sizes of waist circumference. The sensitivity , specificity and area under the ROC curve by different cut-off points of waist circumference for identifying at least two components of MS were estimated to find the cut-off points for men and women in Mongolia. Results The Ors of the clustering of MS components were increased significantly with the sizes of waist circumference. The waist circumference( ≥ 84cm for men, ≥81 cm for women) corresponded to the largest area under the ROC curve , namely, at these cut-off points, the rates of sensitivity and specificity for identifying MS were relatively high. Conclusion The cut-points of WC according to IDF criteria are high for men of Mongolia peasant and herdsmen. It should be lowered to 85cm for men and 80cm for women. This recommendation needs to be further confirmed by follow-up studies in Mongolian people.%目的 研究我国蒙古族农牧民代谢综合征(MS)诊断的腰围(WC)适宜切点. 方法 以内蒙古自治区通辽市科左后旗朝鲁吐苏木和奈曼旗固日班花苏木32个自然村2589名年龄大于20岁的蒙古族农牧民为研究对象,以国际糖尿病联盟(IDF) MS全球共识诊断标准为基础,分析蒙古族男女不同WC水平与MS其他组分聚集的关联,检出至少两个组分存在时灵敏度和特异度均较高的WC界限,作为诊断蒙古族农牧民MS的WC切点,并以此计算不同年龄组MS的检出率. 结果 随WC增大,MS组分聚集的OR值显著增高.当男性WC≥84 cm、女性WC≥81 cm时,ROC曲线下面积最大. 结论 IDF标准在蒙古族农牧民男性

  18. Optimal Elasticity cut-off value for discriminating Healthy to Pathological Fibrotic patients employing Fuzzy C-Means automatic segmentation in Liver Shear Wave Elastography images

    Science.gov (United States)

    Gatos, Ilias; Tsantis, Stavros; Skouroliakou, Aikaterini; Theotokas, Ioannis; Zoumpoulis, Pavlos S.; Kagadis, George C.

    2015-09-01

    The aim of the present study is to determine an optimal elasticity cut-off value for discriminating Healthy from Pathological fibrotic patients by means of Fuzzy C-Means automatic segmentation and maximum participation cluster mean value employment in Shear Wave Elastography (SWE) images. The clinical dataset comprised 32 subjects (16 Healthy and 16 histological or Fibroscan verified Chronic Liver Disease). An experienced Radiologist performed SWE measurement placing a region of interest (ROI) on each subject's right liver lobe providing a SWE image for each patient. Subsequently Fuzzy C-Means clustering was performed on every SWE image utilizing 5 clusters. Mean Stiffness value and pixels number of each cluster were calculated. The mean stiffness value feature of the cluster with maximum pixels number was then fed as input for ROC analysis. The selected Mean Stiffness value feature an Area Under the Curve (AUC) of 0.8633 with Optimum Cut-off value of 7.5 kPa with sensitivity and specificity values of 0.8438 and 0.875 and balanced accuracy of 0.8594. Examiner's classification measurements exhibited sensitivity, specificity and balanced accuracy value of 0.8125 with 7.1 kPa cutoff value. A new promising automatic algorithm was implemented with more objective criteria of defining optimum elasticity cut-off values for discriminating fibrosis stages for SWE. More subjects are needed in order to define if this algorithm is an objective tool to outperform manual ROI selection.

  19. Cerebrospinal fluid neopterin analysis in neuropediatric patients: establishment of a new cut off-value for the identification of inflammatory-immune mediated processes.

    Directory of Open Access Journals (Sweden)

    Marta Molero-Luis

    Full Text Available OBJECTIVE: A high level of cerebrospinal fluid (CSF neopterin is a marker of central nervous system inflammatory-immune mediated processes. We aimed to assess data from 606 neuropediatric patients, describing the clinical and biochemical features of those neurological disorders presenting CSF neopterin values above a new cut-off value that was defined in our laboratory. METHODS: To establish the new CSF neopterin cut-off value, we studied two groups of patients: Group 1 comprised 68 patients with meningoencephalitis, and Group 2 comprised 52 children with a confirmed peripheral infection and no central nervous system involvement. We studied 606 CSF samples from neuropediatric patients who were classified into 3 groups: genetic diagnosis (A, acquired/unknown etiologic neurologic diseases (B and inflammatory-immune mediated processes (C. RESULTS: The CSF neopterin cut-off value was 61 nmol/L. Out of 606 cases, 56 presented a CSF neopterin level above this value. Group C had significantly higher CSF neopterin, protein and leukocyte values than the other groups. Sixteen of twenty-three patients in this group had a CSF neopterin level above the cut-off, whereas three and seven patients presented increased leukocyte and protein values, respectively. A significant association was found among CSF neopterin, proteins and leukocytes in the 606 patients. White matter disturbances were associated with high CSF neopterin concentrations. CONCLUSIONS: Although children with inflammatory-immune mediated processes presented higher CSF neopterin values, patients with other neurological disorders also showed increased CSF neopterin concentrations. These results stress the importance of CSF neopterin analysis for the identification of inflammatory-immune mediated processes.

  20. Prediction of subacute infarct lesion volumes by processing apparent diffusion coefficient maps based on apparent diffusion coefficient cut-off values in patients with acute stroke

    Institute of Scientific and Technical Information of China (English)

    郭翔

    2014-01-01

    Objective To explore the feasibility of prediction of subacute infarct lesion volumes by processing ADC maps based on ADC cut-off values in patients with acute stroke.Methods MRI was performed in 20 patients with clinically diagnosed acute infarct less than 6 h after stroke onset.The MRI included a DWI and conventional MRI.The follow-up MR examinations of all the patients

  1. Cut-off value of FEV1/FEV6 as a surrogate for FEV1/FVC for detecting airway obstruction in a Korean population

    Directory of Open Access Journals (Sweden)

    Chung KS

    2016-08-01

    Full Text Available Kyung Soo Chung,1,2 Ji Ye Jung,1,2 Moo Suk Park,1,2 Young Sam Kim,1,2 Se Kyu Kim,1,2 Joon Chang,1,2 Joo Han Song1,2 1Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea; 2Institute of Chest Disease, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea Background: Forced expiratory volume in 1 second (FEV1/forced expiratory volume in 6 seconds (FEV6 has been proposed as an alternative to FEV1/forced vital capacity (FVC for detecting airway obstruction. A fixed cut-off value for FEV1/FEV6 in a Korean population is lacking. We investigated a fixed cut-off for FEV1/FEV6 as a surrogate for FEV1/FVC for detecting airway obstruction.Materials and methods: We used data obtained in the 5 years of the Fifth and Sixth Korean National Health and Nutrition Examination Survey. A total of 14,978 participants aged ≥40 years who underwent spirometry adequately were the study cohort. “Airway obstruction” was a fixed cut-off FEV1/FVC <70% according to the Global Initiative for Chronic Obstructive Lung Disease guidelines. We also used European Respiratory Society/Global Lung Initiative 2012 equations for the FEV1/FVC lower limit of normal.Results: Among the 14,978 participants (43.5% male, 56.5% female; mean age: 56.9 years for men and 57.0 years for women, 14.0% had obstructive lung function according to a fixed cut-off FEV1/FVC <70%. Optimal FEV1/FEV6 cut-off for predicting FEV1/FVC <70% was 75% using receiver operating characteristic curve analyses (area under receiver operating characteristic curve =0.989, 95% confidence interval 0.987–0.990. This fixed cut-off of FEV1/FEV6 showed 93.8% sensitivity, 94.8% specificity, 74.7% positive predictive value, 98.9% negative predictive value, and 0.8 Cohen’s kappa coefficient. When compared with FEV1/FVC < lower limit of normal, FEV1/FEV6 <75% tended to over-diagnose airflow limitation (just like a fixed cut-off

  2. Using a 3% Proton Density Fat Fraction as a Cut-off Value Increases Sensitivity of Detection of Hepatic Steatosis, Based on Results from Histopathology Analysis.

    Science.gov (United States)

    Nasr, Patrik; Forsgren, Mikael F; Ignatova, Simone; Dahlström, Nils; Cedersund, Gunnar; Leinhard, Olof Dahlqvist; Norén, Bengt; Ekstedt, Mattias; Lundberg, Peter; Kechagias, Stergios

    2017-03-09

    It is possible to estimate hepatic triglyceride content by calculating the proton density fat fraction (PDFF), using proton magnetic resonance spectroscopy ((1)H-MRS), instead of collecting and analyzing liver biopsies to detect steatosis. However, the current PDFF cut-off value (5%) used to define steatosis by magnetic resonance was derived from studies that did not use histopathology as the reference standard. We performed a prospective study to determine the accuracy of (1)H-MRS PDFF in measurement of steatosis using histopathology analysis as the standard. We collected clinical, serologic, (1)H-MRS PDFF, and liver biopsy data from 94 adult patients with increased levels of liver enzymes (6 months or more) referred to the Department of Gastroenterology and Hepatology at Linköping University Hospital in Sweden from 2007 through 2014. Steatosis was graded using the conventional histopathology method and fat content was quantified in biopsy samples using stereological point counts (SPCs). We correlated (1)H-MRS PDFF findings with SPCs (r = 0.92; P <.001). (1)H-MRS PDFF results correlated with histopathology results (ρ = 0.87; P <.001), and SPCs correlated with histopathology results (ρ = 0.88; P <.001). All 25 subjects with PDFF values of 5.0% or more had steatosis based on histopathology findings (100% specificity for PDFF). However, of 69 subjects with PDFF values below 5.0% (negative result), 22 were determined to have steatosis based on histopathology findings (53% sensitivity for PDFF). Reducing the PDFF cut-off value to 3.0% identified patients with steatosis with 100% specificity and 79% sensitivity; a PDFF cut-off value of 2.0% identified patients with steatosis with 94% specificity and 87% sensitivity. These findings might be used to improve non-invasive detection of steatosis.

  3. Raising cut-off value of prostate specific antigen (PSA for biopsy in symptomatic men in India to reduce unnecessary biopsy

    Directory of Open Access Journals (Sweden)

    Shalini Agnihotri

    2014-01-01

    Full Text Available Background & objectives: The characteristics of prostate specific antigen (PSA for trans-rectal ultrasonography guided prostate biopsy in men with lower urinary tract symptoms (LUTS are not well defined. This study was carried out to analyse the threshold of PSA for biopsy in symptomatic men in India. Methods: From January 2000 to June 2011, consecutive patients who had digital rectal examination (DRE and PSA testing done for LUTS were included in this study. PSA was done with ELISA technique. Patients with acute or chronic prostatitis, prostatic abscess, history of surgery on prostate within the previous three months and patients on 5α-reductase inhibitors or on urethral catheter were excluded. Results: Of the 4702 patients evaluated, 70.9 per cent had PSA of less than 4 ng/ml and 29.1 per cent had PSA of more than 4 ng/ml. Of these, 875 men with a mean age of 65.72±7.4 (range 50-75 yr had trans rectal ultrasonography (TRUS guided biopsy. Twenty five men had biopsy at PSA level of 20 ng/ml. Positive predictive value of PSA in ranges of 4.1-10, 10.1-20, >20 ng/ml was 15.2, 24 and 62.6 per cent, respectively with negative DRE. PSA cut-off to do biopsy was derived by ROC curve as 5.82 ng/ml for all the men. When the subjects were further stratified on the basis of DRE findings, a cut-off of 5.4 ng/ml was derived in men with normal DRE. Interpretation & conclusions: A cut-off for biopsy in symptomatic men with negative DRE could safely be raised to 5.4 ng/ml, which could avoid subjecting 10 per cent of men to undergo unnecessary biopsy.

  4. Establishment of cut off values for vanillylmandelic acid and homovanillic acid in 24-hr urine accumulation during mass screening for neuroblastoma.

    Science.gov (United States)

    Nishi, M; Miyake, H; Takeda, T; Takasugi, N; Sato, Y; Hanai, J

    1987-09-01

    The establishment of cut off values in vanillylmandelic acid (VMA) and homovanillic acid (HVA) in 24-hr urine specimens for the purpose of separating true positive cases from normal infants has been discussed. The specimens were collected at the time when thorough examinations under a mass screening programme for neuroblastoma were taking place, and data from 17 infants with neuroblastoma (patients) and 50 healthy infants (controls) have been employed. The function square root VMA2 + HVA2 = 34 (micrograms/mg of creatinine) separated the two groups with no overlapping cases. This function represents the distance from the origin of the VMA-HVA co-ordinates, and is thought to be one of the most reasonable discriminant methods when considering the distribution pattern of the data for normal cases and patients.

  5. The optimum cut-off value to differentiate Echinococcus granulosus sensu stricto from other species of E. granulosus sensu lato using larval rostellar hook morphometry.

    Science.gov (United States)

    Soriano, S V; Pierangeli, N B; Pianciola, L A; Mazzeo, M; Lazzarini, L E; Debiaggi, M F; Bergagna, H F J; Basualdo, J A

    2015-01-01

    Cystic echinococcosis caused by Echinococcus granulosus sensu lato is one of the most important helminth zoonoses in the world; it affects both humans and livestock. The disease is endemic in Argentina and highly endemic in the province of Neuquén. Considerable genetic and phenotypic variation has been demonstrated in E. granulosus, and ten different genotypes (G1-G10) have been identified using molecular tools. Echinococcus granulosus sensu lato may be considered a species complex, comprised of E. granulosus sensu stricto (G1-G3), E. equinus (G4), E. ortleppi (G5) and E. canadensis (G6-G10). In endemic areas, the characterization of cystic echinococcosis molecular epidemiology is important in order to apply adequate control strategies. A cut-off value for larval large hook total length to distinguish E. granulosus sensu stricto isolates from those produced by other species of the complex was defined for the first time. Overall, 1780 larval hooks of 36 isolates obtained from sheep (n= 11, G1), goats (n= 10, G6), cattle (n= 5, G6) and pigs (n= 10, G7) were analysed. Validation against molecular genotyping as gold standard was carried out using the receiver operating characteristic (ROC) curve analysis. The optimum cut-off value was defined as 26.5 μm. The proposed method showed high sensitivity (97.8%) and specificity (91.1%). Since in most endemic regions the molecular epidemiology of echinococcosis includes the coexistence of the widely distributed E. granulosus sensu stricto G1 strain and other species of the complex, this technique could be useful as a quick and economical tool for epidemiological and surveillance field studies, when fertile cysts are present.

  6. Antimicrobial susceptibility testing of Clostridium difficile using EUCAST epidemiological cut-off values and disk diffusion correlates

    DEFF Research Database (Denmark)

    Erikstrup, L T; Hall, Vanessa Jane; Kahlmeter, G

    2012-01-01

    towards metronidazole, vancomycin and moxifloxacin on Brucella Blood Agar supplemented with hemin and vitamin K. We found an excellent agreement between inhibition zone diameter and MICs. For each MIC value, the inhibition zones varied from 0 to 8 mm, with 93% of values within 6 mm for metronidazole, 95...

  7. Evaluation of epidemiological cut-off values indicates that biocide resistant subpopulations are uncommon in natural isolates of clinically-relevant microorganisms.

    Directory of Open Access Journals (Sweden)

    Ian Morrissey

    Full Text Available To date there are no clear criteria to determine whether a microbe is susceptible to biocides or not. As a starting point for distinguishing between wild-type and resistant organisms, we set out to determine the minimal inhibitory concentration (MIC and minimal bactericidal concentration (MBC distributions for four common biocides; triclosan, benzalkonium chloride, chlorhexidine and sodium hypochlorite for 3319 clinical isolates, with a particular focus on Staphylococcus aureus (N = 1635 and Salmonella spp. (N = 901 but also including Escherichia coli (N = 368, Candida albicans (N = 200, Klebsiella pneumoniae (N = 60, Enterobacter spp. (N = 54, Enterococcus faecium (N = 53, and Enterococcus faecalis (N = 56. From these data epidemiological cut-off values (ECOFFs are proposed. As would be expected, MBCs were higher than MICs for all biocides. In most cases both values followed a normal distribution. Bimodal distributions, indicating the existence of biocide resistant subpopulations were observed for Enterobacter chlorhexidine susceptibility (both MICs and MBCs and the susceptibility to triclosan of Enterobacter (MBC, E. coli (MBC and MIC and S. aureus (MBC and MIC. There is a concern on the potential selection of antibiotic resistance by biocides. Our results indicate however that resistance to biocides and, hence any potential association with antibiotic resistance, is uncommon in natural populations of clinically relevant microorganisms.

  8. Cut off values of laser fluorescence for different storage methods at different time intervals in comparison to frozen condition: A 1 year in vitro study

    Directory of Open Access Journals (Sweden)

    Rudra Kaul

    2014-01-01

    Full Text Available Aims: The aim of the following study is to evaluate the change in laser fluorescence (LF values for extracted teeth stored in different solutions over 1 year period, to give cut-off values for different storage media at different time intervals to get them at par with the in vivo conditions and to see which medium gives best results with the least change in LF values and while enhancing the validity of DIAGNOdent in research. Materials and Methods: Ninety extracted teeth selected, from a pool of frozen teeth, were divided into nine groups of 10 each. Specimens in Groups 1-8 were stored in 1% chloramine, 10% formalin, 10% buffered formalin, 0.02% thymol, 0.12% chlorhexidine, 3% sodium hypochlorite, a commercially available saliva substitute-Wet Mouth (ICPA Pharmaceuticals and normal saline respectively at 4°C. The last group was stored under frozen condition at −20°C without contact with any storage solution. DIAGNOdent was used to measure the change the LF values at day 30, 45, 60, 160 and 365. Statistical Analysis Used: The mean change in LF values in different storage mediums at different time intervals were compared using two-way ANOVA. Results: At the end of 1 year, significant decrease in fluorescence (P < 0.05 was observed in Groups 1-8. Maximum drop in LF values occurred between day 1 and 30. Group 9 (frozen specimens did not significantly change their fluorescence response. Conclusions: An inevitable change in LF takes place due to various storage media commonly used in dental research at different time intervals. The values obtained from our study can remove the bias caused by the storage media and the values of LF thus obtained can hence be conveniently extrapolated to the in vivo condition.

  9. Cut off values of laser fluorescence for different storage methods at different time intervals in comparison to frozen condition: A 1 year in vitro study

    Science.gov (United States)

    Kaul, Rudra; Kaul, Vibhuti; Farooq, Riyaz; Wazir, Nikhil Dev; Khateeb, Shafayat Ullah; Malik, Altaf H; Masoodi, Ajaz Amin

    2014-01-01

    Aims: The aim of the following study is to evaluate the change in laser fluorescence (LF) values for extracted teeth stored in different solutions over 1 year period, to give cut-off values for different storage media at different time intervals to get them at par with the in vivo conditions and to see which medium gives best results with the least change in LF values and while enhancing the validity of DIAGNOdent in research. Materials and Methods: Ninety extracted teeth selected, from a pool of frozen teeth, were divided into nine groups of 10 each. Specimens in Groups 1-8 were stored in 1% chloramine, 10% formalin, 10% buffered formalin, 0.02% thymol, 0.12% chlorhexidine, 3% sodium hypochlorite, a commercially available saliva substitute-Wet Mouth (ICPA Pharmaceuticals) and normal saline respectively at 4°C. The last group was stored under frozen condition at −20°C without contact with any storage solution. DIAGNOdent was used to measure the change the LF values at day 30, 45, 60, 160 and 365. Statistical Analysis Used: The mean change in LF values in different storage mediums at different time intervals were compared using two-way ANOVA. Results: At the end of 1 year, significant decrease in fluorescence (P < 0.05) was observed in Groups 1-8. Maximum drop in LF values occurred between day 1 and 30. Group 9 (frozen specimens) did not significantly change their fluorescence response. Conclusions: An inevitable change in LF takes place due to various storage media commonly used in dental research at different time intervals. The values obtained from our study can remove the bias caused by the storage media and the values of LF thus obtained can hence be conveniently extrapolated to the in vivo condition. PMID:24778506

  10. Suggested cut-off values for vitamin D as a risk marker for total and cardiac death in patients with suspected acute coronary syndrome

    Directory of Open Access Journals (Sweden)

    Patrycja Anna Naesgaard

    2016-02-01

    Full Text Available Background: Several studies have demonstrated an association between low vitamin D levels and cardiovascular risk. Vitamin D cut off levels are still under debate. Objectives: To assess two cut-off levels, 40 nmol/L and 70 nmol/L, respectively, for vitamin D measured as 25-hydroxyvitamin D [25(OHD] in chest pain patients with suspected acute coronary syndrome.Methods: We investigated 1853 patients from coastal-Norway and inland Northern-Argentina. A similar database was used for pooling of data. 2-year follow-up data including all-cause mortality, cardiac death and sudden cardiac death in the total patient population were analyzed, applying univariate and multivariable analysis. Results: 255 patients with known vitamin D concentrations died. In the multivariable analysis, there was a decrease in total mortality above a cut-off level of 40 nmol/L and a decrease in cardiac death above a cut-off level of 70 nmol/L, [HRs of 0.66 (95% CI, 0.50 – 0.88, p = 0.004 and 0.46 (95% CI, 0.22 – 0.94, p = 0.034, respectively].Conclusion: Vitamin D cut-off levels of 40 nmol/L and 70 nmol/L, were related to total mortality and cardiac death, respectively.

  11. Establishment the cut-off value of congenital hypothyroidism on newborn in Guangzhou city%广州市新生儿先天性促甲状腺素筛查切值的建立和探讨

    Institute of Scientific and Technical Information of China (English)

    蒋翔; 江剑辉; 李蓓; 吴伽; 陈倩瑜; 曹伟锋; 贾雪芳; 李慧

    2013-01-01

    【Objective】 To get the distribution of thyroid stimulating hormone (TSH) and cut-off value in Guangzhou city. 【Method】 The results of 209 534 newborns were analysed from September 2011 to August 2012,which was described by percentiles and ROC curve,and determined the reasonable cut-off value combined with the actual screening results. 【Results】 The distribution of newborn screen was deflection,P99 was 9. 63 mU/L,the optimal cut-off value was 14 mU/L by ROC curve,the low cut-off value of our lab was 9 mU/L and the high cut-off value was 25 mU/L. 【Conclusion】 It is necessary to establish the reasonable cut-off value before earring out the neonatal screening. The determination of low and high cut-off value and establishment of recall-back methods are effective mode for neonatal screening.%[目的]探讨广州地区新生儿先天性促甲状腺素的水平分布并建立本地区的筛查实验切值. [方法]对广州市2011年9月-2012年8月间209 534例新生儿先天性甲状腺功能低下筛查的结果进行统计,使用百分位数法及ROC曲线计算促甲状腺素(thyroid stimulating hormone,TSH)参考切值,并结合实际筛查工作确定合理的切值. [结果]新生儿疾病筛查TSH水平呈偏态分布,TSH水平P99为9.63 mU/L,ROC曲线计算的最佳TSH值为14 mU/L,最终确定的TSH低切值为9 mU/L,高切值为25 mU/L. [结论]在开展筛查工作之前必须根据本地区的实际情况确立适宜的切值,确立高低两个切值并建立不同的召回方式对甲低筛查工作是合理有效的模式.

  12. Antimicrobial Susceptibility of Flavobacterium psychrophilum from Chilean Salmon Farms and their Epidemiological Cut-off Values using Agar Dilution and Disk Diffusion Methods

    Directory of Open Access Journals (Sweden)

    Claudio D Miranda

    2016-11-01

    Full Text Available Flavobacterium psychrophilum is the most important bacterial pathogen for freshwater farmed salmonids in Chile. The aims of this study were to determine the susceptibility to antimicrobials used in fish farming of Chilean isolates and to calculate their epidemiological cut-off (COWT values. A number of 125 Chilean isolates of F. psychrophilum were isolated from reared salmonids presenting clinical symptoms indicative of flavobacteriosis and their identities were confirmed by 16S rRNA polymerase chain reaction. Susceptibility to antibacterials was tested on diluted Mueller-Hinton by using an agar dilution MIC method and a disk diffusion method. The COWT values calculated by Normalised Resistance Interpretation (NRI analysis allow isolates to be categorized either as wild-type fully susceptible (WT or as manifesting reduced susceptibility (NWT. When MIC data was used, NRI analysis calculated a COWT of ≤ 0.125 μg mL-1, ≤ 2 μg mL-1 and ≤ 0.5 μg mL-1 for amoxicillin, florfenicol and oxytetracycline, respectively. For the quinolones, the COWT were ≤1 μg mL-1, ≤ 0.5 μg mL-1 and ≤ 0.125 μg mL-1 for oxolinic acid, flumequine and enrofloxacin respectively. The disc diffusion data sets obtained in this work were extremely diverse and were spread over a wide range. For the quinolones there was a close agreement between the frequencies of NWT isolates calculated using MIC and disc data. For oxolinic acid, flumequine and enrofloxacin the frequencies were 45, 39 and 38% using MIC data, and 42, 41 and 44%, when disc data were used. There was less agreement with the other antimicrobials, because NWT frequencies obtained using MIC and disc data respectively, were 24% and 10% for amoxicillin, 8% and 2% for florfenicol and 70% and 64% for oxytetracycline. Considering that the MIC data was more precise than the disc diffusion data, MIC determination would be the preferred method for susceptibility testing for this species and the NWT frequencies

  13. ASSOCIATION OF IDF CRITERIA OF WAIST CIRCUMFERENCE WITH DIABETES MELLITUS IN A RURAL DIABETIC POPULATION

    Directory of Open Access Journals (Sweden)

    Shuba Srinivasan

    2016-09-01

    Full Text Available INTRODUCTION IDF definition of metabolic syndrome uses waist circumference as the main criteria without which metabolic syndrome cannot be diagnosed. The IDF cut-offs for waist circumference is ethnicity specific, but there is a vast heterogeneity amongst South Asians and within the Indian subcontinent itself. MATERIALS AND METHODS This cross-sectional study was conducted on 100 consecutive cases of diabetes in a medical college catering to predominantly rural population who attended the Medicine Department OPD. Demographic data and anthropometric data with relevant biochemical values were collected with patient’s permission and the study was conducted. The IDF criterion of cut-off for waist circumference was solely used to identify the correlation between waist circumference and development of diabetes. RESULTS Study comprised of 55 males and 45 females with diabetes. 40% amongst males with diabetes had a waist circumference below the cut-off for metabolic syndrome. Amongst females, 8% did not fit into the IDF criteria of waist circumference for metabolic syndrome. CONCLUSION Many countries have proposed different cut-off values for waist circumference for diagnosis of metabolic syndrome. India being a heterogenous population requires region and population specific study to identify exact cut-off point. The authors believe 90 cm as waist circumference in males is too high and many metabolic syndrome cases are likely to be missed using this criteria.

  14. Sensory cut-off point obtained from survival analysis statistics

    OpenAIRE

    Garitta, Lorena; Langohr, Klaus; Gómez Melis, Guadalupe; Hough, Guillermo; Beeren, Cindy

    2015-01-01

    In the present work we applied interval-censored survival analysis techniques to estimate sensory cut-off points based on consumer’s decision to accept or reject food products taking into account the inherent variability in sensory measurements. We compared the values obtained using this survival analysis methodology with those obtained by applying a previous regression based method. Cut-off point (COP) estimations were made for acid flavor in yogurt, strawberry flavor in a strawberry flav...

  15. Human papillomavirus testing in primary cervical screening and the cut-off level for hybrid capture 2 tests

    DEFF Research Database (Denmark)

    Rebolj, Matejka; Bonde, Jesper; Njor, Sisse Helle;

    2011-01-01

    To determine the trade-off between the sensitivity and the specificity for high grade cervical intraepithelial neoplasia at hybrid capture 2 cut-off values above the standard = 1 relative light units/cut-off level (rlu/co)....

  16. 虎红平板凝集试验确诊布鲁杆菌病截断值的探讨%Cut-off value of rose bengal plate agglutination test in rapid diagnosis of brucellosis

    Institute of Scientific and Technical Information of China (English)

    马志东; 刘云霞; 李艳红; 李建云

    2013-01-01

    Objective To find out the cut-off value of rose bengal plate agglutination test(RBPT) in rapid diagnosis of brucellosis.Methods From May to June 2009,398 people who came to the outpatient department of Inner Mongolia Center for Endemic Disease Control and Research were diagnosed brucellosis by RBPT and tube agglutination test (SAT).Tube agglutination test as a gold standard,rose bengal plate agglutination test,its authenticity and reliability were evaluated.Results Taking positive predictive value 100.0% as the selection standard,the cut-off value of RBPT was "++" which could be used to diagnose brucellosis.The sensitivity was 83.3%; the specificity was 100.0%; the Youden index was 0.832; and the compliance rote was 89.9%.Conclusion The cut-off value "++" of RBPT to diagnosis brucellosis is worthy of clinical promotion.%目的 探讨虎红平板凝集试验确诊布鲁杆菌病凝集度的截断值.方法 内蒙古地方病防治研究中心门诊部选择2009年5月至2009年6月,进行布鲁杆菌病检查的398人,进行试管凝集试验和虎红平板凝集试验检测,以试管凝集试验为金标准,探讨虎红平板凝集试验诊断布鲁杆菌病的截断值,并对可靠性和真实性进行评价.结果 以阳性预测值100.0%作为筛选标准,虎红平板凝集试验快速确诊布鲁杆菌病的截断值为“++”,以该凝集度强度作为截断值进行布鲁杆菌病诊断,灵敏度为83.3%,特异度为100.0%,约登指数为0.823,符合率为89.9%.结论 以虎红平板凝集试验的“++”作为截断值诊断布鲁杆菌病,值得临床推广.

  17. Diagnostic and prognostic value of brain natriuretic peptide (BNP) concentrations in very elderly heart disease patients: specific geriatric cut-off and impacts of age, gender, renal dysfunction, and nutritional status.

    Science.gov (United States)

    Blondé-Cynober, F; Morineau, G; Estrugo, B; Fillie, E; Aussel, C; Vincent, J-P

    2011-01-01

    Confirming the presence of heart failure (HF) in geriatric patients is made difficult by the overlapping symptoms with other diseases and by limited access to investigative techniques such as echography, and the clinical signs are either non-constant or difficult to interpret. In this context, BNP measurement could prove highly useful. We determined a cut-off value of BNP for diagnosing HF in geriatric patients and gauged its predictive power in terms of cardiovascular events, dependence and death within a 6-month timeframe. This clinical and biological study was performed in patients, 44 women and 20 men, age>65 years with suspected HF hospitalized in the geriatric unit at Emile-Roux hospital. Echography was performed at baseline examination. BNP concentrations were determined at baseline examination and at 2 and 6 months later. Renal function was assessed via the Cockroft-Gault formula. Nutritional status was assessed using the geriatric nutritional risk index (GNRI). Final reference diagnosis was established by both cardiologist and geriatrician. The diagnostic value of BNP was assessed by area under the ROC curve. The average age of the 64 patients was 84.3±7.4 years. The final diagnosis was HF in 26 patients (41%). A BNPvalue of 90% (accuracy 80%) for excluding the diagnosis of HF. BNP values were predictive of cardiovascular events over a 2-month timeframe in patients with HF and over a 6-month timeframe in the global population. BNP values were not predictive of mortality in patients with or without HF. BNP testing should help to differentiate pulmonary from cardiac etiologies of dyspnea, but a specific cut-off point has to be used in geriatric settings, mainly for patients presenting nutritional and renal dysfunctions.

  18. From Dimensional to Cut-Off Regularization

    CERN Document Server

    Dillig, M

    2006-01-01

    We extent the standard approach of dimensional regularization of Feynman diagrams: we replace the transition to lower dimensions by a 'natural' cut-off regulator. Introducing an external regulator of mass Lambda^(2e), we regain in the limit e -> 0 and e > 0 the results of dimensional and cut-off regularization, respectively. We demonstrate the versatility and adequacy of the different regularization schemes for practical examples (such as non covariant regularization, the axial anomaly or regularization in effective field theories).

  19. Cut-off value of red-blood-cell-bound IgG for the diagnosis of Coombs-negative autoimmune hemolytic anemia.

    Science.gov (United States)

    Kamesaki, Toyomi; Oyamada, Takashi; Omine, Mitsuhiro; Ozawa, Keiya; Kajii, Eiji

    2009-02-01

    Direct antiglobulin test (DAT)-negative autoimmune hemolytic anemia (Coombs-negative AIHA) is characterized by laboratory evidence of in vivo hemolysis, together with a negative DAT performed by conventional tube technique (CTT) in clinically suspected AIHA patients. The immunoradiometric assay (IRMA) for red-blood-cell-bound immunoglobulin G (RBC-IgG) can be used to diagnose patients in whom CTT does not detect low levels of red cell autoantibodies. We investigated the diagnostic cutoff value of the IRMA for RBC-IgG in Coombs-negative AIHA and calculated its sensitivity and specificity. Of the 140 patients with negative DAT by CTT referred to our laboratory with undiagnosed hemolytic anemia, AIHA was clinically diagnosed in 64 patients (Coombs-negative AIHA). The numbers of Coombs-negative AIHA and non-AIHA patients changed with age and gender. The cutoff values were determined from receiver operating characteristic (ROC) curve according to age and gender. The IRMA for RBC-IgG proved to be sensitive (71.4%) and specific (87.8%) when using these cutoffs. Using these cutoffs for 41 patients with negative DAT referred to our laboratory in 2006, all the pseudonegative cases were treated with steroids before the test. The 31 untreated cases could be grouped using one cutoff value of 78.5 and showed 100% sensitivity and 94% specificity, independent of gender and age. Results indicate that RBC-IgG could become a standard approach for the diagnosis of Coombs-negative AIHA, when measured before treatment.

  20. Accuracy and cut-off values of pepsinogens I, II and gastrin 17 for diagnosis of gastric fundic atrophy: influence of gastritis.

    Directory of Open Access Journals (Sweden)

    Dariush Nasrollahzadeh

    Full Text Available BACKGROUND: To establish optimal cutoff values for serologic diagnosis of fundic atrophy in a high-risk area for oesophageal squamous cell carcinoma and gastric cancer with high prevalence of Helicobacter pylori (H. pylori in Northern Iran, we performed an endoscopy-room-based validation study. METHODS: We measured serum pepsinogens I (PGI and II (PGII, gastrin 17 (G-17, and antibodies against whole H. pylori, or cytotoxin-associated gene A (CagA antigen among 309 consecutive patients in two major endoscopy clinics in northeastern Iran. Updated Sydney System was used as histology gold standard. Areas under curves (AUCs, optimal cutoff and predictive values were calculated for serum biomarkers against the histology. RESULTS: 309 persons were recruited (mean age: 63.5 years old, 59.5% female. 84.5% were H. pylori positive and 77.5% were CagA positive. 21 fundic atrophy and 101 nonatrophic pangastritis were diagnosed. The best cutoff values in fundic atrophy assessment were calculated at PGI40 pmol/l was 81% sensitive and 73.3% specific for diagnosing fundic atrophy. At cutoff concentration of 11.8 µg/l, PGII showed 84.2% sensitivity and 45.4% specificity to distinguish nonatrophic pangastritis. Exclusion of nonatrophic pangastritis enhanced diagnostic ability of PGI/PGII ratio (from AUC = 0.66 to 0.90 but did not affect AUC of PGI. After restricting study samples to those with PGII<11.8, the sensitivity of using PGI<56 to define fundic atrophy increased to 83.3% (95%CI 51.6-97.9 and its specificity decreased to 88.8% (95%CI 80.8-94.3. CONCLUSIONS: Among endoscopy clinic patients, PGII is a sensitive marker for extension of nonatrophic gastritis toward the corpus. PGI is a stable biomarker in assessment of fundic atrophy and has similar accuracy to PGI/PGII ratio among populations with prevalent nonatrophic pangastritis.

  1. ROC curve establish to cut-off value of hematologic indicators for thalassemia screening%ROC曲线确立血液学各指标在地贫筛查中的CUT-OFF值

    Institute of Scientific and Technical Information of China (English)

    张强; 何升; 阙婷; 唐燕青

    2013-01-01

    Objective: Establish to cut - off value of hematologic indicators for thalassemia screening. Methods: Use SYSMEX he- matology analyzer to detect MCV, MCH, RDW - CV, Hb RBC, use HPLC analyzer HBA2. All of examples carry out thalassemia gene test which apply gap - per and RDB principle. Result: MCV MCH are better than other hematologic indicators. In thalassemia screening. MCV is higher than MCH RDW - CV HBA2 showed value for β thalassemia screening. RBC and HB have screening of limited value. Conclusion; Laboratory should establish; to suit cutoff value in order to ruduse missed diagnosis and Diagnostic Errors.%目的 用ROC曲线(受试者工作特征曲线)确立各血液学指标在地贫筛查中的切值.方法 以SYSMEX五分类血细胞分析仪进行全血细胞计数,记录RBC,HB,MCH,MCV,RDW-CV的数值.用伯乐HPLC进行血红蛋白电泳分析记录HBA2值.所有标本进行地中海贫血基因检测.采用gap-pcr及RDB(反向点杂交)原理对筛查结果进行验证.结果 在地贫筛查中MCV和MCH比较有价值,MCV的价值略大于MCH,RDW-CV,和HBA2对β地贫的筛查价值更加的显著,而RBC及HB在地贫筛查中价值不大.结论 为减少漏诊及误诊,实验室应该建立合适的切值

  2. Comparison of VerifyNow-P2Y12 test and Flow Cytometry for monitoring individual platelet response to clopidogrel. What is the cut-off value for identifying patients who are low responders to clopidogrel therapy?

    Directory of Open Access Journals (Sweden)

    Castelli Alfredo

    2009-05-01

    Full Text Available Abstract Background Dual anti-platelet therapy with aspirin and a thienopyridine (DAT is used to prevent stent thrombosis after percutaneous coronary intervention (PCI. Low response to clopidogrel therapy (LR occurs, but laboratory tests have a controversial role in the identification of this condition. Methods We studied LR in patients with stable angina undergoing elective PCI, all on DAT for at least 7 days, by comparing: 1 Flow cytometry (FC to measure platelet membrane expression of P-selectin (CD62P and PAC-1 binding following double stimulation with ADP and collagen type I either in the presence of prostaglandin (PG E1; 2 VerifyNow-P2Y12 test, in which results are reported as absolute P2Y12-Reaction-Units (PRU or % of inhibition (% inhibition. Results Thirty controls and 52 patients were analyzed. The median percentage of platelets exhibiting CD62P expression and PAC-1 binding by FC evaluation after stimulation in the presence of PG E1 was 25.4% (IQR: 21.4–33.1% and 3.5% (1.7–9.4%, respectively. Only 6 patients receiving DAT (11.5% had both values above the 1st quartile of controls, and were defined as LR. Evaluation of the same patients with the VerifyNow-P2Y12 test revealed that the area under the receiver-operating-characteristic (ROC curve was 0.94 (95% CI: 0.84–0.98, p 213 PRU gave the maximum accuracy for the detection of patients defined as having LR by FC. Conclusion In conclusion our findings show that a cut-off value of ≤ 15% inhibition or > 213 PRU in the VerifyNow-P2Y12 test may provide the best accuracy for the identification of patients with LR.

  3. Waist circumference and insulin resistance: a community based cross sectional study on reproductive aged Iranian women

    Directory of Open Access Journals (Sweden)

    Zadeh-Vakili Azita

    2011-08-01

    Full Text Available Abstract Background Although the positive relationship between insulin resistance (IR and central obesity is well known, the direct relationship between waist circumference and IR is not clear yet and there is no consensus regarding the cut off value for waist circumference as a surrogate index for central obesity. The present study was aimed to determine the optimal cut-off value of waist circumference (WC for predicting IR in reproductive aged Iranian women. Methods Using the stratified, multistage probability cluster sampling method 1036 women were randomly selected from among reproductive aged women of different geographic regions of Iran. Following implementation of exclusion criteria, complete data for 907 women remained for analysis. Insulin resistance was evaluated by the homeostasis model assessment (HOMA-IR and its cut off value was defined as the 95th percentile of HOMA-IR value for 129 subjects, without any metabolic abnormality. The optimal cut-off of WC in relation to HOMA-IR was calculated based on the receiver operating characteristics (ROC curve analysis using the Youden index and the area under curve (AUC. Results The mean age of the total sample of 907 subjects was 34.4 ± 7.6 years (range, 18 - 45 years. After adjustment for age the odds ratios (OR of elevated HOMA-IR were progressively higher with increasing levels of waist circumference; the age adjusted OR of IR for women with WC > 95 cm in comparison to those subjects with WC Conclusions Waist circumference is directly related to insulin resistance and the optimal cut-off value for waist circumference reflecting insulin resistance is considered to be 88.5 cm for reproductive aged Iranian women.

  4. Determination of a saliva cotinine cut-off to distinguish pregnant smokers from pregnant non-smokers

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2007-01-01

    Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women. This consti......Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women...

  5. Spin Cut-off Parameter of Nuclear Level Density and Effective Moment of Inertia

    Institute of Scientific and Technical Information of China (English)

    A.N. Behkami; M. Soltani

    2005-01-01

    The spin cut-off parameter of the nuclear level density and effective moment of inertia for a large number of nuclei have been determined from analysis of the experimental data on S-wave neutron resonances and spins of lowlying levels. Contrary to claims made before, it is shown the spin cut-off parameter differs considerably from their corresponding rigid body values, and the energy dependence of the effective moment of inertia confirms the interacting fermion model prediction.

  6. The acoustic cut-off frequency of the Sun and the solar magnetic activity cycle

    CERN Document Server

    Jimenez, A; Palle, P L

    2011-01-01

    The acoustic cut-off frequency -the highest frequency for acoustic solar eigenmodes- is an important parameter of the solar atmosphere as it determines the upper boundary of the p-mode resonant cavities. At frequencies beyond this value, acoustic disturbances are no longer trapped but traveling waves. Interference amongst them give rise to higher-frequency peaks -the pseudomodes- in the solar acoustic spectrum. The pseudomodes are shifted slightly in frequency with respect to p modes making possible the use of pseudomodes to determine the acoustic cut-off frequency. Using data from GOLF and VIRGO instruments on board the SOHO spacecraft, we calculate the acoustic cut-off frequency using the coherence function between both the velocity and intensity sets of data. By using data gathered by these instruments during the entire lifetime of the mission (1996 till the present), a variation in the acoustic cut-off frequency with the solar magnetic activity cycle is found.

  7. Cut-off wavenumber of Alfven waves in partially ionized plasmas of the solar atmosphere

    CERN Document Server

    Zaqarashvili, T V; Ballester, J L; Khodachenko, M L

    2012-01-01

    Alfven wave dynamics in partially ionized plasmas of the solar atmosphere shows that there is indeed a cut-off wavenumber, i.e. the Alfven waves with wavenumbers higher than the cut-off value are evanescent. The cut-off wavenumber appears in single-fluid magnetohydrodynamic (MHD) approximation but it is absent in a multi-fluid approach. Up to now, an explanation for the existence of the cut-off wavenumber is still missing. The aim of this paper is to point out the reason for the appearance of a cut-off wavenumber in single-fluid MHD. Beginning with three-fluid equations (with electrons, protons and neutral hydrogen atoms), we performed consecutive approximations until we obtained the usual single-fluid description is obtained. We solved the dispersion relation of linear Alfven waves at each step and sought the approximation responsible of the cut-off wavenumber appearance. We have found that neglecting inertial terms significantly reduces the real part of the Alfven frequency although it never becomes zero. T...

  8. Effect of copper slag recovery on hydrometallurgical cut-off grades considering environmental aspects

    Institute of Scientific and Technical Information of China (English)

    AFSHIN AKBARI; ESMAEIL RAHIMI

    2016-01-01

    Determining the hydrometallurgical cut-off grades specifies the destination of low grade materials and this is subjected to more benefits in mining. Copper production rate is considered as one of the fundamental issues in hydrometallurgical cut-off grades determination. Slags are remarked as one of the main sources of copper. It is not only regarded as a waste but also identified as another resource extracting base metals. Slags are characterized by copper high grade. Thus, slag copper recovery can be led to different cut-off grades and net present value (NPV). The current research scrutinizes the effect of slag recovery by both flotation and hydrometallurgical methods on the hydrometallurgical cut-off grades. For this purpose, the optimum cut-off grade algorithms of hydrometallurgical methods are developed by considering associated environmental parameters, incomes and also the costs. Then, their optimum amounts are calculated with NPV maximization as an objective function. The results indicate that considering slag copper recovery in the hydrometallurgical cut-off grade algorithms reduces the environmental costs caused by slag dumping and leads to more NPV by 9%.

  9. An approach for the delineation of a generic cut-off value for local respiratory tract irritation by irritating or corrosive substances as a pragmatic tool to fulfill REACH requirements.

    Science.gov (United States)

    Messinger, H

    2014-04-01

    Under the current European legislation for the Registration, Evaluation, Authorisation and restriction of Chemicals (REACHs) a Derived No Effect Level (DNEL) has to be delineated for acute and chronic inhalation effects. The majority of available experimental studies are performed by the oral route of exposure. Route to route extrapolation poses particular problems for irritating or corrosive substances but the necessity for additional animal studies with inhalation exposure needs to be balanced with the regulatory information requirements. Existing occupational exposure limits (OEL) as surrogate for cut-off limits representing safe exposure under working conditions were grouped under certain criteria for substances that are legally classified in Europe as irritating or corrosive. As a result, it was shown that the OEL for irritating substances in this dataset is not lower than 10mg/m(3) and for corrosives not lower than 1mg/m(3). Under certain conditions these generic limits could be applied as a pragmatic, but still sufficiently reliable and protective upper cut-off limit approach to avoid additional animal tests with irritating or corrosive chemicals. The respective systemic toxicity profiles and physical-chemical properties need to be considered. Specific exclusion criteria for the discussed concept apply.

  10. Body composition-derived BMI cut-offs for overweight and obesity in Indians and Creoles of Mauritius: comparison with Caucasians

    Science.gov (United States)

    Hunma, S; Ramuth, H; Miles-Chan, J L; Schutz, Y; Montani, J-P; Joonas, N; Dulloo, A G

    2016-01-01

    Background and Aims: Global estimates of overweight and obesity prevalence are based on the World Health Organisation (WHO) body mass index (BMI) cut-off values of 25 and 30 kg m−2, respectively. To validate these BMI cut-offs for adiposity in the island population of Mauritius, we assessed the relationship between BMI and measured body fat mass in this population according to gender and ethnicity. Methods: In 175 young adult Mauritians (age 20-42 years) belonging to the two main ethnic groups—Indians (South Asian descent) and Creoles (African/Malagasy descent), body weight, height and waist circumference (WC) were measured, total body fat assessed by deuterium oxide (D2O) dilution and trunk (abdominal) fat by segmental bioimpedance analysis. Results: Compared to body fat% predicted from BMI using Caucasian-based equations, body fat% assessed by D2O dilution in Mauritians was higher by 3–5 units in Indian men and women as well as in Creole women, but not in Creole men. This gender-specific ethnic difference in body composition between Indians and Creoles is reflected in their BMI–Fat% relationships, as well as in their WC–Trunk Fat% relationships. Overall, WHO BMI cut-offs of 25 and 30 kg m−2 for overweight and obesity, respectively, seem valid only for Creole men (~24 and 29.5, respectively), but not for Creole women whose BMI cut-offs are 2–4 units lower (21–22 for overweight; 27–28 for obese) nor for Indian men and women whose BMI cut-offs are 3–4 units lower (21–22 for overweight; 26–27 for obese). Conclusions: The use of BMI cut-off points for classifying overweight and obesity need to take into account both ethnicity and gender to avoid gross adiposity status misclassification in this population known to be at high risk for type-2 diabetes and cardiovascular diseases. This is particularly of importance in obesity prevention strategies both in clinical medicine and public health. PMID:27698347

  11. Prognostic value of Ki67 and p53 in patients with estrogen receptor-positive and human epidermal growth factor receptor 2-negative breast cancer: Validation of the cut-off value of the Ki67 labeling index as a predictive factor

    Science.gov (United States)

    OHARA, MASAHIRO; MATSUURA, KAZUO; AKIMOTO, ETSUSHI; NOMA, MIDORI; DOI, MIHOKO; NISHIZAKA, TAKASHI; KAGAWA, NAOKI; ITAMOTO, TOSHIYUKI

    2016-01-01

    The aim of this study was to evaluate the significance of the Ki67 labeling index and p53 status as prognostic and predictive indicators of operable estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-negative breast cancer. Among 697 consecutive patients with primary breast cancer who underwent curative surgery between 2002 and 2013, 308 patients with ER-positive and HER2-negative breast cancer were assessed. The results of the multivariate Cox analysis demonstrated that a high Ki67 labeling index was significantly associated with a short recurrence-free interval (RFI) (p=0.004) and was marginally associated with a worse overall survival (p=0.074). A positive p53 status was not associated with worse outcomes. To validate the cut-off values of the Ki67 labeling index for identifying patients who may benefit from additional chemotherapy, prognostic factors were investigated in breast cancer patients treated postoperatively with endocrine therapy alone. Analysis of receiver operating characteristic curves demonstrated that a Ki67 labeling index cut-off of 20.0% was optimal for predicting recurrence among patients who did not receive adjuvant chemotherapy. The 5-year RFIs for patients with Ki67 <20 and ≥20% were 97.2 and 86.6%, respectively (p=0.0244). A high Ki67 labeling index (≥20%) was significantly associated with large tumors (p<0.01), lymph node metastasis (p=0.0236) and positive p53 status (p<0.001). The univariate analysis demonstrated that Ki67 labeling index ≥20%, lymph node metastasis and progesterone receptor negativity were significant worse prognostic factors for RFI (p=0.0333, 0.0116 and 0.0573, respectively). The Ki67 labeling index was found to be a useful prognostic factor in patients with ER-positive and HER2-negative breast cancer and the cut-off values of the Ki67 labeling index for making a decision regarding adjuvant treatment were validated. PMID:27073684

  12. Reliability, validity and cut-off value of the childhood autism spectrum test%儿童孤独症谱系测验量表的信度、效度及临界值

    Institute of Scientific and Technical Information of China (English)

    关智勇; 龚建华; 陈艳琳; 周首俊; 李丽

    2016-01-01

    Objective To explore the applicability of the childhood autism spectrum test (CAST) of children in Mainland China according to autism screening,in order to provide the effective reference for the identification and diagnosis of autism spectrum disorders of children.Methods Two hundreds and fifty-two typical developing children,and 61 autistic children who were confirmed by psychological clinic of Child Healthcare Clinic,Shenzhen Luohu District Maternal and Child Health Care Hospital who were conformed with diagnosis standards of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition(DSM-5) by using CAST Chinese version were assessed,and the reliability and validity analysis were made on the CAST scale.The receiver operating characteristic curve was drew to determine the optimal threshold value,and the sensitivity,specificity and positive predictive value were calculated.Results CAST Chinese version had good reliability,Cronbach's α was 0.880.Split-half reliability coefficient r was 0.821,and the whole scale calibration reliability coefficient was 0.902.There was statistically significant difference between items and the total score(P<0.05).The consistency between the CAST ≥4 years old children and diagnosis standards of DSM-5 reached 0.884(P=0.000).The consistency 3-<4 years old children and diagnosis standards of DSM-5 reached 0.867 (P=0.000).Among the screening of the children who were ≥4 years old,the cut off was 15 scores that the sensitivity and specificity were best.With the children of 3-<4 years old,a designated cut-point should be 17 scores.Conclusions There are good reliability and validity of CAST,which can be used to mainland China,as well as to screen autistic children more than 3 years old.%目的 探讨儿童孤独症谱系测验(CAST)量表在中国大陆儿童孤独症筛查的适用性,为儿童孤独症谱系障碍的识别与诊断提供有效参考.方法 采用CAST量表对252例健康儿童及深圳市罗湖区妇幼

  13. Calculating broad neutron resonances in a cut-off Woods-Saxon potential

    Energy Technology Data Exchange (ETDEWEB)

    Baran, A.; Noszaly, Cs. [Faculty of Informatics, University of Debrecen, PO Box 12, Debrecen (Hungary); Salamon, P. [Hungarian Academy of Sciences (ATOMKI), Institute for Nuclear Research, PO Box 51, Debrecen (Hungary); Vertse, T. [Faculty of Informatics, University of Debrecen, PO Box 12, Debrecen (Hungary); Hungarian Academy of Sciences (ATOMKI), Institute for Nuclear Research, PO Box 51, Debrecen (Hungary)

    2015-07-15

    In a cut-off Woods-Saxon (CWS) potential with realistic depth S -matrix poles being far from the imaginary wave number axis form a sequence where the distances of the consecutive resonances are inversely proportional with the cut-off radius value, which is an unphysical parameter. Other poles lying closer to the imaginary wave number axis might have trajectories with irregular shapes as the depth of the potential increases. Poles being close repel each other, and their repulsion is responsible for the changes of the directions of the corresponding trajectories. The repulsion might cause that certain resonances become antibound and later resonances again when they collide on the imaginary axis. The interaction is extremely sensitive to the cut-off radius value, which is an apparent handicap of the CWS potential. (orig.)

  14. Calculating broad neutron resonances in a cut-off Woods-Saxon potential

    CERN Document Server

    Baran, Á; Salamon, P; Vertse, T

    2015-01-01

    In a cut-off Woods-Saxon potential with realistic depth $S$-matrix poles being far from the imaginary wave number axis form a sequence where the distances of the consecutive resonances are inversely proportional with the cut-off radius value. Other poles lying closer to the imaginary wave number axis might have trajectories with irregular shapes as the depth of the potential increases. Poles being close repel each other, and their repulsion is responsible for the changes of the directions of the corresponding trajectories. The interaction is extremely sensitive to the cut-off radius value. The repulsion might cause that certain resonances become antibound and later resonances again when they collide on the imaginary axis.

  15. Atmospheric structure and acoustic cut-off frequency of roAp stars

    CERN Document Server

    Audard, N; Morel, P; Provost, J P; Weiss, W W

    1998-01-01

    Some of the rapidly oscillating (CP2) stars, have frequencies which are larger than the theoretical acoustic cut-off frequency. As the cut-off frequency depends on the T(tau) relation in the atmosphere, we have computed models and adiabatic frequencies for pulsating Ap stars with T(tau) laws based on Kurucz model atmospheres and on Hopf's purely radiative relation. The frequency-dependent treatment of radiative transfer as well as an improved calculation of the radiative pressure in Kurucz model atmospheres increase the theoretical acoustic cut-off frequency by about 200 microHz, which is closer to the observations. For alpha Cir we find models with Kurucz atmospheres which have indeed a cut-off frequency beyond the largest observed frequency and which are well within the Teff - L error box. For HD 24712 only models which are hotter by about 100 K and less luminous by nearly 10% than what is actually the most probable value would have an acoustic cut-off frequency large enough. One may thus speculate that the...

  16. Physical and cut-off effects of heavy sea quarks

    CERN Document Server

    Knechtli, Francesco; Bruno, Mattia; Finkenrath, Jacob; Leder, Björn; Marinkovic, Marina; Sommer, Rainer

    2014-01-01

    We simulate a theory with two dynamical O($a$) improved Wilson quarks whose mass $M$ ranges from a factor eight up to a factor two below the charm quark mass and at three values of the lattice spacing ranging from 0.066 to 0.034 fm. This theory is a prototype to study the decoupling of heavy quarks. We measure the mass and cut-off dependence of ratios of gluonic observables defined from the Wilson flow or the static potential. The size of the 1/$M$ corrections can be determined and disentangled from the lattice artifacts. The difference with the pure gauge theory is at the percent level when two quarks with a mass of the charm quark are present.

  17. Determination of a saliva cotinine cut-off to distinguish pregnant smokers from pregnant non-smokers

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2007-01-01

    Objective validation of smoking status is necessary. Earlier studies have used saliva cotinine concentrations between 14.2 and 30 ng/ml as cut-off values to distinguish pregnant smokers from non-smokers. However, these cut-offs derive from studies including men and non-pregnant women....... This constitutes a problem, as recent studies have reported an accelerated metabolism in pregnant smokers. The aim of this study was to determine the optimum cut-off cotinine level distinguishing pregnant smokers from pregnant non-smokers....

  18. Chronic kidney disease : Defining clinical cut-offs for albumin:creatinine ratio

    NARCIS (Netherlands)

    Bakker, Stephan J L

    2013-01-01

    Albuminuria is rapidly gaining recognition as a marker of the presence and of the progression of chronic kidney disease (CKD). In a new study, Naresh et al. attempt to define cut-off values for percentage change in urinary albumin:creatinine ratio that reflect changes in CKD status rather than rando

  19. Amerindians normalized waist circumference and obesity diagnosis standarized by biochemical and HLA data.

    Science.gov (United States)

    Arnaiz-Villena, Antonio; Fernández-Honrado, Mercedes; Areces, Cristina; Arribas, Ignacio; Coca, Carmen; Enriquez-de-Salamanca, Mercedes; Parga-Lozano, Carlos; Abd-El-Fatah, Sedeka; Rey, Diego

    2012-04-01

    Metabolic syndrome (MS) and obesity are principal causes of morbidity all over the World, particularly for their association to cardiovascular risk. Amerindians are often living in countries and remote areas with unavailable sophisticated diagnoses methodologies. However, waist-circumference is a reliable and easy to record parameter of visceral obesity and MS. Waist circumference normal values are not yet established in Amerindians: South Asian and Japanese values have been recommended for Amerindian use. The purpose of this study is to objectively define for the first time the waist circumference measure cut-off points for Amerindians. A total of 303 unrelated Amerindian adults recently immigrated to Madrid were studied; they were healthy, since they were questioned and tested as appropriate for blood donation. Waist-circumference was measured in these voluntary blood donors after written consent. Chosen subjects for study had HLA quasi-specific Amerindian genes and not gained weight since their relatively short time living in Spain. Amerindians with Type I or II diabetes or family antecedents were removed from the study. The biochemical parameter used to define normality for MS was the reliable serum HDL-cholesterol levels, whose values are diet independent. A Receiver Operating Characteristic analysis was used to compare the predictive validity and to find out the optimal cut-off points of waist circumference normal values. Cut-off points were ≤88.5 cm in males and ≤82.5 cm in females; these values were close to the median values (88 and 82.2 cm, respectively). Obtained waist circumference values recorded here in normal Amerindians are different to those previously recommended indirectly (those of South Asian/Japanese populations). These parameters may be of great value for American countries health care in order to predict and control MS and its cardiovascular complications. Other countries having a heavy Amerindian immigration (i.e.: USA, Spain) may

  20. Cut-off Grade Optimization for Maximizing the Output Rate

    Directory of Open Access Journals (Sweden)

    A. Khodayari

    2012-12-01

    Full Text Available In the open-pit mining, one of the first decisions that must be made in production planning stage, after completing the design of final pit limits, is determining of the processing plant cut-off grade. Since this grade has an essential effect on operations, choosing the optimum cut-off grade is of considerable importance. Different goals may be used for determining optimum cut-off grade. One of these goals may be maximizing the output rate (amount of product per year, which is very important, especially from marketing and market share points of view. Objective of this research is determining the optimum cut-off grade of processing plant in order to maximize output rate. For performing this optimization, an Operations Research (OR model has been developed. The object function of this model is output rate that must be maximized. This model has two operational constraints namely mining and processing restrictions. For solving the model a heuristic method has been developed. Results of research show that the optimum cut-off grade for satisfying pre-stated goal is the balancing grade of mining and processing operations, and maximum production rate is a function of the maximum capacity of processing plant and average grade of ore that according to the above optimum cut-off grade must be sent to the plant.

  1. Rise time of proton cut-off energy in 2D and 3D PIC simulations

    CERN Document Server

    Babaei, Javad; Londrillo, Pasquale; Mirzanejad, Saeed; Rovelli, Tiziano; Sinigardi, Stefano; Turchetti, Giorgio

    2016-01-01

    The Target Normal Sheath Acceleration (TNSA) regime for proton acceleration by laser pulses is experimentally consolidated and fairly well understood. However, uncertainties remain in the analysis of particle-in-cell (PIC) simulation results. The energy spectrum is exponential with a cut-off, but the maximum energy depends on the simulation time, following different laws in two and three dimensional (2D, 3D) PIC simulations, so that the determination of an asymptotic value has some arbitrariness. We propose two empirical laws for rise time of the cut-off energy in 2D and 3D PIC simulations, suggested by a model in which the proton acceleration is due to a surface charge distribution on the target rear side. The kinetic energy of the protons that we obtain follows two distinct laws, which appear to be nicely satisfied by PIC simulations. The laws depend on two parameters: the scaling time, at which the energy starts to rise, and the asymptotic cut-off energy. The values of the cut-off energy, obtained by fitti...

  2. Comparison of different DIAGNOdent cut-off limits for in vivo detection of occlusal caries.

    Science.gov (United States)

    Heinrich-Weltzien, Roswitha; Kühnisch, J; Oehme, T; Ziehe, A; Stösser, L; García-Godoy, F

    2003-01-01

    This study tested recently recommended cut-off limits for the laser fluorescence based device DIAGNOdent (KaVo) for detection of occlusal caries. Two hundred and forty-eight permanent molars from 94 patients (mean age 19.2 years) of a general dental practice were included. After professional tooth cleaning, the teeth were examined visually and by the laser fluorescence method. The extent of occlusal lesions (gold standard) was determined after minimal operative intervention. Upon fissure opening, 24 teeth had enamel caries and 224 teeth revealed dentin caries, of which 58 and 166, respectively, were up to or beyond half the dentin. The optimal cut-off limits based on the highest kappa-values (0.51 and 0.54) were > 18 for superficial dentinal caries (D3) and > 37 for deep dentinal caries (D4). The comparison with DIAGNOdent cut-offs given by the manufacturer (n = 4) and those based on clinical trials with in vivo validation (n = 4) and in vitro studies with histological validation (n = 3) revealed a considerable variation in performance. Recommended cut-offs between 17 and 21 for superficial dentin lesions were in the same order of magnitude (0.48-0.51). On the D4 level, only the manufacturer's cut-off of > 34 achieved the best performance (0.51). According to the highest kappa-values and the area under the ROC curves (D3: A(z) = 0.903; D4: A(z) = 0.830), the agreement between the extent of validated caries and laser fluorescence value is still unsatisfactory.

  3. Cut-off wavenumber of Alfvén waves in partially ionized plasmas of the solar atmosphere

    Science.gov (United States)

    Zaqarashvili, T. V.; Carbonell, M.; Ballester, J. L.; Khodachenko, M. L.

    2012-08-01

    Context. Alfvén wave dynamics in partially ionized plasmas of the solar atmosphere shows that there is indeed a cut-off wavenumber, i.e. the Alfvén waves with wavenumbers higher than the cut-off value are evanescent. The cut-off wavenumber appears in single-fluid magnetohydrodynamic (MHD) approximation but it is absent in a multi-fluid approach. Up to now, an explanation for the existence of the cut-off wavenumber is still missing. Aims: The aim of this paper is to point out the reason for the appearance of a cut-off wavenumber in single-fluid MHD. Methods: Beginning with three-fluid equations (with electrons, protons and neutral hydrogen atoms), we performed consecutive approximations until we obtained the usual single-fluid description. We solved the dispersion relation of linear Alfvén waves at each step and sought the approximation responsible of the cut-off wavenumber appearance. Results: We have found that neglecting inertial terms significantly reduces the real part of the Alfvén frequency although it never becomes zero. Therefore, the cut-off wavenumber does not exist at this stage. However, when the inertial terms together with the Hall term in the induction equation are neglected, the real part of the Alfvén frequency becomes zero. Conclusions: The appearance of a cut-off wavenumber, when Alfvén waves in partially ionized regions of the solar atmosphere are studied, is the result of neglecting inertial and Hall terms, therefore it has no physical origin.

  4. THE INTEGRAL HIGH-ENERGY CUT-OFF DISTRIBUTION OF TYPE 1 ACTIVE GALACTIC NUCLEI

    Energy Technology Data Exchange (ETDEWEB)

    Malizia, A.; Molina, M.; Bassani, L.; Stephen, J. B. [IASF-Bologna, INAF, Via Gobetti 101, I-40129 Bologna (Italy); Bazzano, A.; Ubertini, P. [IAPS-Roma, INAF, Via Fosso del Cavaliere 100, I-00133 Roma (Italy); Bird, A. J., E-mail: malizia@iasfbo.inaf.it [School of Physics and Astronomy, University of Southampton, Southampton SO17 1BJ (United Kingdom)

    2014-02-20

    In this Letter we present the primary continuum parameters, the photon index Γ, and the high-energy cut-off E {sub c} of 41 type-1 Seyfert galaxies extracted from the International Gamma-Ray Astrophysics Laboratory (INTEGRAL) complete sample of active galactic nuclei (AGNs). We performed broadband (0.3-100 keV) spectral analysis by simultaneously fitting the soft and hard X-ray spectra obtained by XMM and INTEGRAL/IBIS-Swift/BAT, respectively, in order to investigate the general properties of these parameters, in particular their distribution and mean values. We find a mean photon index of 1.73 with a standard deviation of 0.17 and a mean high-energy cut-off of 128 keV with a standard deviation of 46 keV for the whole sample. This is the first time that the cut-off energy is constrained in such a large number of AGNs. We have 26 measurements of the cut-off, which corresponds to 63% of the entire sample, distributed between 50 and 200 keV. There are a further 11 lower limits mostly below 300 keV. Using the main parameters of the primary continuum, we have been able to obtain the actual physical parameters of the Comptonizing region, i.e., the plasma temperature kT {sub e} from 20 to 100 keV and the optical depth τ < 4. Finally, with the high signal-to-noise ratio spectra starting to come from NuSTAR it will soon be possible to better constrain the cut-off values in many AGNs, allowing the determination of more physical models and thus better understand the continuum emission and geometry of the region surrounding black holes.

  5. Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job): definition of the cut-off score.

    Science.gov (United States)

    Schiavolin, Silvia; Giovannetti, Ambra Mara; Leonardi, Matilde; Brenna, Greta; Brambilla, Laura; Confalonieri, Paolo; Frangiamore, Rita; Mantegazza, Renato; Moscatelli, Marco; Clerici, Valentina Torri; Cortese, Francesca; Covelli, Venusia; Ponzio, Michela; Zaratin, Paola; Raggi, Alberto

    2016-05-01

    Multiple Sclerosis (MS) mainly affects people of working age. The Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job) was designed to measure difficulties in work-related tasks. Our aim is to define cut-off score of MSQ-Job to identify potential critical situations that might require specific attention. A sample of patients with MS completed the MSQ-Job, WHODAS 2.0 and MSQOL-54 respectively for work difficulties, disability and health-related quality of life (HRQoL) evaluation. K-means Cluster Analysis was used to divide the sample in three groups on the basis of HRQoL and disability. ANOVA test was performed to compare the response pattern between these groups. The cut-off score was defined using the receiver operating characteristic (ROC) curve analyses for MSQ-Job total and count of MSQ-Job items scores ≥3: a score value corresponding to the maximum of the sensitivity-to-specificity ratio was chosen as the cut-off. Out of 180 patients enrolled, twenty were clustered in the higher severity group. The area under the ROC curve was 0.845 for the MSQ-Job total and 0.859 for the count of MSQ-Job items scores ≥3 while the cut-off score was 15.8 for MSQ-Job total and 8 for count of items scored ≥3. We recommend the use of MSQ-Job with this calculation as cut-off for identifying critical situations, e.g. in vocational rehabilitation services, where work-related difficulties have a significant impact in terms of lower quality of life and higher disability.

  6. Designing the sound of a cut-off drum

    CERN Document Server

    Martinetti, Pierre

    2015-01-01

    The spectral action in noncommutative geometry naturally implements an ultraviolet cut-off, by counting the eigenvalues of a (generalized) Dirac operator lower than an energy of unification. Inverting the well known question "how to hear the shape of a drum ?", we ask what drum can be designed by hearing the truncated music of the spectral action ? This makes sense because the same Dirac operator also determines the metric, via Connes distance. The latter thus offers an original way to implement the high-momentum cut-off of the spectral action as a short distance cut-off on space. This is a non-technical presentation of the results of http://arxiv.org/abs/1305.2605

  7. Neck Circumference to Assess Obesity in Preschool Children

    Science.gov (United States)

    Kondolot, Meda; Horoz, Duygu; Poyrazoğlu, Serpil; Borlu, Arda; Öztürk, Ahmet; Kurtoğlu, Selim; Mazıcıoğlu, Mümtaz M.

    2017-01-01

    Objective: Limited information is available about the use of neck circumference (NC) to assess obesity in preschool children. This study aims to provide NC percentiles and determine the cut-off levels of NC as a measure to assess obesity in preschool children. Methods: The data were obtained from the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study database. A total of 21 family health centers were chosen and children aged 2-6 years old from all socioeconomic levels were randomly selected from the lists of district midwives; 1766 children (874 male and 892 female; 88.3% of sample size) were included in the study. The smoothed centile curves of NC were constructed by the LMS method. Receiver operating characteristic (ROC) analysis was performed to calculate cut-off points for NC using body mass index ≥95th percentile. Results: Mean NC was greater in males than females. Cut-off values for obesity were found to be statistically significant in both genders other than 3 years old boys. The NC percentiles of Turkish preschool children were slightly greater than those of other European preschool children in both genders. This difference disappeared around the adiposity rebound period. The 97th percentile values for Turkish preschool children continue to be greater in both genders. Conclusion: NC may be useful to define obesity in preschool children. Since ethnic and various other factors may have a role in incidence of obesity, local reference data are important in assessment of obesity. PMID:27660068

  8. 皮肤点刺试验阳性界值与sIgE对间歇性变应性鼻炎的诊断价值%Diagnostic value of positive cut-off values in skin prick test and sIgE for intermittent allergic rhinitis

    Institute of Scientific and Technical Information of China (English)

    石晓; 魏利召; 王东; 刘一

    2014-01-01

    Objective To explore the influence of different positive cut-off values of skin prick test(SPT) in the evaluation of serum specific IgE(sIgE) in the diagnosis of allergic rhinitis(AR) soldiers in Inner Mongolia,and to evaluate the diagnostic consistency between SPT and serum sIgE.Methods66 soldiers in a station of Inner Mongolia who had positive clinical symptoms and signs of AR were accepted SPT with 23 kinds of inhalant allergens, then 31 intermittent AR soldiers were selected, who had no less than 4 positive SPT and higher level of positve results. According to SPT, aforementioned 31 soldiers underwent detection of Artemisia vulgaris, Artemisia absinthium, Ambrosia trifida, Humulus scandens, Ulmus americana, Salix caprea, Betula verrucosa and taraxaci sIgE that was performed, using UniCAP100 system. The reference standard of AR was established according to the clinical symptoms, signs and positive SPT. The influence of diagnostic value of sIgE was evaluated based on“+”and“++”positive cut-off value of SPT, respectively. The diagnostic indexes includes sensitivity, specificity, positive predictive value, negative predictive value and concordance rate. And the diagnostic consistency between SPT and serum sIgE was also evaluated.Results ①Artemisia pollen was the major allergen among intermittent AR soldiers at this station and its SPT positive rate was more than 60%, followed by Sunflower, Humulus scandens, ragweed, Betula alba, Ulmus americana and Salix caprea in turns, with the SPT positive rate being more than 30%.②Based on“+” positive cut-off value of SPT, the sensitivity of serum sIgE ranged from 0.500(Humulus scandens) to 0.982(Artemisia), the specificity ranged from 0.500(ragweed, Ulmus americana, Betula verrucosa) to 1.000(Artemisia), and the concordance rate ranged from 0.581(Humulus scandens) to 0.984(Artemisia). When adjusting the cut-off value to“++”, the sensitivity of serum sIgE ranged from 0.524(Humulus scandens) to 0.982(Artemisia

  9. Cut-off proposal for the detection of ketamine in hair.

    Science.gov (United States)

    Salomone, A; Gerace, E; Diana, P; Romeo, M; Malvaso, V; Di Corcia, D; Vincenti, M

    2015-03-01

    Ketamine is a powerful anesthetic drug used in both human and veterinary surgery, but it is also commonly misused because of its psychotropic properties. Since the abuse of this drug has been reported in many countries worldwide, its determination in hair samples is offered as a specialist test by hundreds of laboratories. However, unlike other common drugs of abuse, a cut-off level for ketamine in hair has not been fixed yet. Therefore, aim of this study is to propose a concentration value for ketamine in hair analysis, in order to discriminate between chronic and occasional use, and between active use and external contamination. After considering the chemical properties of this molecule, and the experimental data collected in our laboratory or reported in several other published studies, we propose a cut-off level of 0.5ng/mg, as indicative of repeated exposure to ketamine. Additionally, we suggest that the detection of the metabolite norketamine should be mandatory to prove active intake and exclude false positive result from external contamination. Thus, a reasonable cut-off value for norketamine could be fixed at 0.1ng/mg, while the minimal concentration ratio norketamine/ketamine may be positively established at 0.05.

  10. Introduction of a distance cut-off into structural alignment by the double dynamic programming algorithm.

    Science.gov (United States)

    Toh, H

    1997-08-01

    Two approximations were introduced into the double dynamic programming algorithm, in order to reduce the computational time for structural alignment. One of them was the so-called distance cut-off, which approximately describes the structural environment of each residue by its local environment. In the approximation, a sphere with a given radius is placed at the center of the side chain of each residue. The local environment of a residue is constituted only by the residues with side chain centers that are present within the sphere, which is expressed by a set of center-to-center distances from the side chain of the residue to those of all the other constituent residues. The residues outside the sphere are neglected from the local environment. Another approximation is associated with the distance cut-off, which is referred to here as the delta N cut-off. If two local environments are similar to each other, the numbers of residues constituting the environments are expected to be similar. The delta N cut-off was introduced based on the idea. If the difference between the numbers of the constituent residues of two local environments is greater than a given threshold value, delta N, the evaluation of the similarity between the local environments is skipped. The introduction of the two approximations dramatically reduced the computational time for structural alignment by the double dynamic programming algorithm. However, the approximations also decreased the accuracy of the alignment. To improve the accuracy with the approximations, a program with a two-step alignment algorithm was constructed. At first, an alignment was roughly constructed with the approximations. Then, the epsilon-suboptimal region for the alignment was determined. Finally, the double dynamic programming algorithm with full structural environments was applied to the residue pairs within the epsilon-suboptimal region to produce an improved alignment.

  11. A PROBLEM OF CUTTING OFF THE LAMINATED SEMIS TYPE PLATE

    Directory of Open Access Journals (Sweden)

    Florin Ciofu

    2012-11-01

    Full Text Available A problem often coped on many domains such as wood manufacturing, glass, plastics and metallic platework industry, is the shaping or cutting off a big plate in many pieces. With this purpose there are algorithms of optimizing for positioning the parts following to be cut off from a row plate. From mathematical point of view, in positioning the parts on a raw plate the number of solutions increase four times evrey time a new part is added, and in case of finding the best solution for about few hundreds of pieces or parts would require years of processing on the most performant computers nowadays – for an analogy remember the famous story with the rice beads which the King had to pay to the master teaching him the chess: twice more for each square of the chessboard; for the total quantity assessment, King ascertained that the crops in his whole life wouldn’t have been enough.

  12. Cut-off point for WHOQOL-bref as a measure of quality of life of older adults.

    Science.gov (United States)

    Silva, Patrícia Aparecida Barbosa; Soares, Sônia Maria; Santos, Joseph Fabiano Guimarães; Silva, Líliam Barbosa

    2014-06-01

    OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref) as a predictor of quality of life in older adults.METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults' quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory - good or very good self-reported quality of life and being satisfied or very satisfied with health - G5; and poor/very poor quality of life - poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health - G6). A Receiver-Operating Characteristic curve (ROC) was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref.RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5) and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6).CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

  13. Tentative Colistin Epidemiological Cut-Off Value for Salmonella spp

    DEFF Research Database (Denmark)

    Agersø, Yvonne; Torpdahl, Mia; Zachariasen, Camilla

    2012-01-01

    The objective of this research was to determine minimal inhibitory concentration (MIC) population distributions for colistin for Salmonella on subtype level. Furthermore, we wanted to determine if differences in MIC for colistin could be explained by mutations in pmrA or pmrB encoding proteins...... involved in processes that influence the binding of colistin to the cell membrane. During 2008–2011, 6,583 Salmonella enterica subsp. enterica isolates of human origin and 1931 isolates of animal/meat origin were collected. The isolates were serotyped, and susceptibility was tested towards colistin (range...... 1–16 mg/L). Moreover, 37 isolates were tested for mutations in pmrA and pmrB by polymerase chain reaction (PCR) and DNA sequencing. MIC distribution for colistin at serotype level showed that Salmonella Dublin (n=198) followed by Salmonella Enteritidis (n=1247) were less susceptible than “other...

  14. Energy loss in unstable QGP - problem of the upper cut-off

    Directory of Open Access Journals (Sweden)

    Carrington Margaret E.

    2014-04-01

    Full Text Available The energy loss of a highly energetic parton in a weakly coupled quark-gluon plasma is studied as an initial value problem. An extremely prolate plasma, where the momentum distribution is infinitely elongated along one direction, is considered. The energy loss is strongly time and direction dependent and its magnitude can much exceed the equilibrium value. It is logarithmically ultraviolet divergent. We argue that a good approximation to the energy loss can be obtained if this divergence is cut off with the parton energy.

  15. Cut-Offs and Response Criteria for the Hospital Universitario La Princesa Index (HUPI) and Their Comparison to Widely-Used Indices of Disease Activity in Rheumatoid Arthritis

    OpenAIRE

    González-Álvaro, Isidoro; Castrejón, Isabel; Ortiz, Ana M; Toledano, Esther; Castañeda, Santos; García-Vadillo, Alberto; Carmona, Loreto; ,

    2016-01-01

    Objective To estimate cut-off points and to establish response criteria for the Hospital Universitario La Princesa Index (HUPI) in patients with chronic polyarthritis. Methods Two cohorts, one of early arthritis (Princesa Early Arthritis Register Longitudinal [PEARL] study) and other of long-term rheumatoid arthritis (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide [EMECAR]) including altogether 1200 patients were used to determine cut-off values for remission, and for ...

  16. Neck circumference as a predictor of metabolic syndrome, insulin resistance and low-grade systemic inflammation in children: the ACFIES study

    OpenAIRE

    Gomez-Arbelaez, Diego; Camacho, Paul Anthony; Cohen, Daniel Dylan; Saavedra-Cortes, Sandra; Lopez-Lopez, Cristina; Lopez-Jaramillo, Patricio

    2016-01-01

    Background The current study aims to evaluate the association between neck circumference (NC) and several cardio-metabolic risk factors, to compare it with well-established anthropometric indices, and to determine the cut-off point value of NC for predicting children at increased risk of metabolic syndrome, insulin resistance and low-grade systemic inflammation. Methods A total of 669 school children, aged 8–14, were recruited. Demographic, clinical, anthropometric and biochemical data from a...

  17. Energetics of southeastern Pacific cut-off lows

    Science.gov (United States)

    Gan, Manoel Alonso; Piva, Everson Dal

    2016-06-01

    The existence of cut-off lows (COLs) over South Pacific and South America is often associated with adverse weather events such as intense precipitation over the central region of South America, frost episodes in southern Brazil and the development of Andes lee cyclones and intense cyclones over the southern coast of Brazil. Despite this importance, the formation and maintenance mechanisms of the COLs are not well understood. To detail the significant variability in terms of the eddy kinetic energy equation for fifty cases of COLs that formed over the southeastern Pacific Ocean is the aim of this study. Only the cases of COLs that formed over the ocean and remained there during most of their life were chosen. The main terms of the equation [ageostrophic flux convergence (AFC), baroclinic conversion (BRC) and barotropic conversion (BRT)] were calculated using the 6-hourly gridded data from the National Centers for Environmental Prediction/Department of Energy reanalysis. The formation mechanism of the COLs was associated with BRC and AFC. During the midlife period, the BRC term converted eddy kinetic energy to eddy potential energy and the AFC had a positive contribution until 6 h after the midlife point. In the dissipation phase, the BRC term remained positive and AFC became negative. The BRT extracted kinetic energy from the COL during the entire life cycle. The AFC term was the most important in all phases of the cut-off lifetime, and it was the responsible for extending the cut-off lifetime while the others terms were negatives.

  18. High frequency cut-off in 1/f conductivity noise of hole-doped La1-x Ca x MnO3 manganite single crystals

    Science.gov (United States)

    Przybytek, Jacek; Fink-Finowicki, Jan; Puźniak, Roman; Jung, Grzegorz

    2016-05-01

    High frequency bias and temperature-dependent Lorentzian cut-off has been observed in the 1/f spectra of the conductivity fluctuations in low hole-doped ferromagnetic insulating La1-x Ca x MnO3 manganite at low temperatures. The cut-off frequency depends on dc current bias and temperature. The high frequency cut-off has been tentatively associated with intrinsic limits of the appearance of 1/f noise in the hopping regime of the Coulomb glass state. The assumption is validated by the fact that the Efros-Shklovskii temperature {{T}\\text{ES}} , estimated from the fit of the model to the experimentally measured temperature dependence of the cut-off frequency, has the same value as the temperature {{T}\\text{ES}} evaluated independently from the temperature dependence of the resistivity in the corresponding temperature range.

  19. Avaliação do desempenho diagnóstico e do valor de corte para o índice de respiração rápida e superficial na predição do insucesso da extubação Evaluation of the diagnostic performance and cut-off value for the rapid shallow breathing index in predicting extubation failure

    Directory of Open Access Journals (Sweden)

    Aline Roberta Danaga

    2009-06-01

    Full Text Available OBJETIVO: Avaliar o desempenho diagnóstico do índice de respiração rápida e superficial (IRRS na predição do insucesso da extubação de pacientes adultos em terapia intensiva e verificar a adequação do valor de corte clássico para esse índice. MÉTODOS: Estudo prospectivo realizado na unidade de terapia intensiva de adultos do Hospital das Clínicas da Faculdade de Medicina de Botucatu, através da avaliação do IRRS em 73 pacientes consecutivos considerados clinicamente prontos para extubação. RESULTADOS: O IRRS com valor de corte clássico (105 ciclos/min/L apresentou sensibilidade de 20% e especificidade de 95% (soma = 115%. A análise da curva receiver operator characteristic (ROC demonstrou melhor valor de corte (76,5 ciclos/min/L, o qual forneceu sensibilidade de 66% e especificidade de 74% (soma = 140%, e a área sob a curva ROC para o IRRS foi de 0,78. CONCLUSÕES: O valor de corte clássico do IRRS se mostrou inadequado nesta casuística, prevendo apenas 20% dos pacientes com falha na extubação. A obtenção do novo valor de corte permitiu um acréscimo substancial de sensibilidade, com aceitável redução da especificidade. O valor da área sob a curva ROC indicou satisfatório poder discriminativo do índice, justificando a validação de sua aplicação.OBJECTIVE: To evaluate the diagnostic performance of the rapid shallow breathing index (RSBI in predicting extubation failure among adult patients in the intensive care unit and to determine the appropriateness of the classical RSBI cut-off value. METHODS: This was a prospective study conducted in the adult intensive care unit of the Botucatu School of Medicine Hospital das Clínicas. The RSBI was evaluated in 73 consecutive patients considered clinically ready for extubation. RESULTS: The classical RSBI cut-off value (105 breaths/min/L presented a sensitivity of 20% and a specificity of 95% (sum = 115%. Analysis of the receiver operator characteristic (ROC curve

  20. Permeability porosity relationships (K, Phi cut-off)

    Energy Technology Data Exchange (ETDEWEB)

    Djettou, F.; Reda, H. [Sonatrach, Algiers (Algeria)

    1995-08-01

    Several reservoirs of Lower Devonian in Ghadames basin present porosities greater than 10 Pu, but during the test they are rather impermeable. It seems that this phenomena extends to BERKINE and Rhourd Messaoud areas. This seriously affect the estimation of recovery reserves. The best we can do is to study and try to understand reservoir problems. The method we choose is based on statistical analysis of test results and their comparison with core and log measurements. It concerns mainly cummulative curves of productive and non-productive tests (dry test). This involves about 20 wells where are can define: Siegenian with: Fine grained in BBK and ROM Coarse grained toward BRN - Emsian is rather homogeneous in the region. The sand cut-off porosity is greater than 11 Pu. However the reservoir can`t produce itself then we can not take account in reserve estimation. In conclusion, a sandy reservoir of Lower Devonian in Ghadames basin may be very porous (11-12%) and impermeable while in the other cases reservoirs can produce with porosity of 7 or 8 Po. However a HC definition based on cut-off porosity in Ghadames basin should be done before net pay an recovery reserves estimation.

  1. ELISA Cut-off Point for the Diagnosis of Human Brucellosis; a Comparison with Serum Agglutination Test

    Directory of Open Access Journals (Sweden)

    Anahita Sanaei Dashti

    2012-03-01

    Full Text Available Background: Brucellosis is a world-wide disease, which has a diverse clinical manifestation, and its diagnosis has to be proven by laboratory data. Serum agglutination test (SAT is the most-widely used test for diagnosing brucellosis. The enzyme linked immunosorbent assay (ELISA can also determine specific antibody classes against brucella. It is a sensitive, simple and rapid test, which could be an acceptable alternative to SAT with fewer limitations, however, like any other new test it should be further evaluated and standardized for various populations. This study was planned to determine an optimal cut-off point, for ELISA which would offer maximum sensitivity and specificity for the test when compared to SAT.Methods: Four hundred and seven patients with fever and other compatible symptoms of brucellosis were enrolled in the study. Serum agglutination test, 2-Mercaptoethanol test, and ELISA were performed on their sera. Results: The cut-off point of 53 IU/ml of ELISA-IgG yielded the maximal sensitivity and specificity comparing to the other levels of ELISA-IgG, and was considered the best cut off-point of ELISA-IgG to diagnose acute brucellosis. At this cut-off, the sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio were 84.09%, 85.38%, 62.20, 94.90, 5.75, 0.18, respectively.Conclusion: The best cut-off point of ELISA-IgG is 53 IU/ml, which yields the maximal sensitivity and specificity to diagnose acute brucellosis.

  2. Receiver Operating Characteristic (ROC to Determine Cut-Off Points of Biomarkers in Lung Cancer Patients

    Directory of Open Access Journals (Sweden)

    Heidi L. Weiss

    2004-01-01

    Full Text Available The role of biomarkers in disease prognosis continues to be an important investigation in many cancer studies. In order for these biomarkers to have practical application in clinical decision making regarding patient treatment and follow-up, it is common to dichotomize patients into those with low vs. high expression levels. In this study, receiver operating characteristic (ROC curves, area under the curve (AUC of the ROC, sensitivity, specificity, as well as likelihood ratios were calculated to determine levels of growth factor biomarkers that best differentiate lung cancer cases versus control subjects. Selected cut-off points for p185erbB-2 and EGFR membrane appear to have good discriminating power to differentiate control tissues versus uninvolved tissues from patients with lung cancer (AUC = 89% and 90%, respectively; while AUC increased to at least 90% for selected cut-off points for p185erbB-2 membrane, EGFR membrane, and FASE when comparing between control versus carcinoma tissues from lung cancer cases. Using data from control subjects compared to patients with lung cancer, we presented a simple and intuitive approach to determine dichotomized levels of biomarkers and validated the value of these biomarkers as surrogate endpoints for cancer outcome.

  3. 先天性心脏病患儿术前充血性心力衰竭年龄分层后血浆氨基末端B型脑利钠肽前体诊断界值的研究%Cut-off values of amino-terminal pro-B-type natriuretic peptide for the diagnosis of chronic heart failure in children of age stratification with congenital heart disease prior to heart surgery

    Institute of Scientific and Technical Information of China (English)

    林春旺; 曾祥林; 孟秀会; 江少虎; 欧阳辉

    2013-01-01

    目的 通过检测先天性心脏病(congenital heart disease,CHD)患儿在行心脏手术前血浆中的氨基末端B型脑利钠肽前体(amino-terminal pro-B-type natriuretic peptide,NT-proBNP)血浆浓度,绘制ROC曲线分析其敏感度、特异度及约登指数,探讨0~5岁经年龄分层前后充血性心力衰竭(congestiveheart failure,CHF)患儿血浆NT-proBNP诊断界值.方法 测定2011年1月至2013年1月收治的100例CHD术前患儿(试验组)及100例正常儿童(对照组)血浆NT-proBNP,合并CHF的CHD患儿(CHF组)经年龄分层又分为0~1岁组、~3岁组和~5岁组,探讨各自的NT-proBNP诊断CHF的界值.结果 100例CHD患儿中,34例符合改良Ross心力衰竭诊断标准,试验组在年龄分层前按照ROC曲线选取的NT-proBNP诊断CHF界值为502 ng/L,经年龄分层后0~1岁组、~3岁组、~5岁组的NT-proBNP诊断CHF界值分别为552 ng/L、449ng/L、349 ng/L.结论 该研究结果显示,合并CHF的CHD术前患儿经年龄分层后0~1岁组、~3岁组、~5岁组的NT-proBNP诊断CHF界值分别为552 ng/L、449ng/L、349 ng/L.%Objective To detect the plasma amino-terminal pro-B-type natriuretic peptide (NT-ProBNP) of children with congenital heart disease(CHD) prior to heart surgery,to analysize its sensitivity,specificity and Youden index by receiver operating characteristic(ROC) curve,to explore the cut-off values of plasma NTProBNP for the diagnosis of congestive heart failure(CHF) in children under 5 years old before and after age stratification.Method The plasma NT-proBNP was detected for 100 children with CHD prior to heart surgery (experimental group) and 100 normal children(control group) between January 2011 to January 2013.Age stratification(0 ~ 1 year group,~3 years group and ~ 5 year group) was conducted in children with CHF younger than 5 years old to explore the cut-off values of plasma NT-ProBNP for the diagnosis of CHF.Results The NT-proBNP of 34 patients with CHF(n =100) was in

  4. Insulin sensitivity indices: a proposal of cut-off points for simple identification of insulin-resistant subjects.

    Science.gov (United States)

    Radikova, Z; Koska, J; Huckova, M; Ksinantova, L; Imrich, R; Vigas, M; Trnovec, T; Langer, P; Sebokova, E; Klimes, I

    2006-05-01

    Demanding measurement of insulin sensitivity using clamp methods does not simplify the identification of insulin resistant subjects in the general population. Other approaches such as fasting- or oral glucose tolerance test-derived insulin sensitivity indices were proposed and validated with the euglycemic clamp. Nevertheless, a lack of reference values for these indices prevents their wider use in epidemiological studies and clinical practice. The aim of our study was therefore to define the cut-off points of insulin resistance indices as well as the ranges of the most frequently obtained values for selected indices. A standard 75 g oral glucose tolerance test was carried out in 1156 subjects from a Caucasian rural population with no previous evidence of diabetes or other dysglycemias. Insulin resistance/sensitivity indices (HOMA-IR, HOMA-IR2, ISI Cederholm, and ISI Matsuda) were calculated. The 75th percentile value as the cut-off point to define IR corresponded with a HOMA-IR of 2.29, a HOMA-IR2 of 1.21, a 25th percentile for ISI Cederholm, and ISI Matsuda of 57 and 5.0, respectively. For the first time, the cut-off points for selected indices and their most frequently obtained values were established for groups of subjects as defined by glucose homeostasis and BMI. Thus, insulin-resistant subjects can be identified using this simple approach.

  5. 困难气道危险因素Logistic回归分析及身高甲颏距离比最佳临界点%Logistic regression analysis of the risk factors for difficult airway and the cut-off value of height-to-thyromental distance ratio

    Institute of Scientific and Technical Information of China (English)

    靳皓; 陈萍

    2015-01-01

    Objective To analyze the risk factors for difficult airway in laryngoscopy and mask ventilation. Methods A total of 300 patients receiving general anesthesia with tracheal intubation were examined preoperatively for height, thyromental and sternomental distance (TMD), range of neck movement, inter-incisor distance, and modified Mallampati class. Intubation Difficult Score was used to identify a difficult laryngoscopy. Difficult airway was defined as either difficult laryngoscopy or difficult mask ventilation. The association between the airway characteristics and difficult airway was analyzed by logistic regression analysis, and the cut-off values for the height-to-TMD ratio was determined by the ROC curve. Results and Conclusion Eight airway characteristics were identified to contribute to a difficult airway, including (OR [95%CI]) the height-to-TMD ratio (3.58[1.95-8.46]), modified Mallampati class (3.34 [1.82-7.14]), BMI (3.07 [1.64-6.69]), history of a previous difficult airway (2.79 [1.28-5.25]), a thick neck (2.15 [1.04-4.37]), range of neck movement (1.98 [0.96-3.89]), sternomental and angulus mandibulae distance (1.46 [0.67-3.04]), and inter-incisor distance (1.01 [0.49-2.54]). The optimal cut-off value for the height-to-TMD ratio was 22.8 for predicting a difficult airway.%目的:根据常用气道评估指标探究困难气道的危险因素。方法选择300例拟行气管插管全麻的患者,术前测量身高、甲颏距离、颈部后仰度、张口度、改良Mallampati分级等气道评估指标。以困难插管评分>5分为困难气管插管,结合困难面罩通气共同定义困难气道。通过logistic回归分析评估各项指标与困难气道相关性,并通过ROC曲线计算受试人群身高甲颏距离比最佳临界点。结果共8项相关因素按相对危险度估计值(OR)由大到小依次为:身高甲颏距离比3.58(1.95~8.46)、改良Mallampati分级3.34(1.82~7.14)、体质量指数3.07(1.64~6.69

  6. Emission Enhancement in a Plasmonic Waveguide at Cut-Off

    Directory of Open Access Journals (Sweden)

    Andrea Alù

    2011-01-01

    Full Text Available Enhancement of molecular emission is usually obtained by coupling small optical emitters with external resonant structures and systems, as first established by Purcell several decades ago, and verified in several recent investigations using molecules or quantum dots coupled with plasmonic nanoantennas. Here we theoretically investigate in detail a different mechanism for emission enhancement, based on our recent idea of a plasmonic nanolauncher [Phys. Rev. Lett. 2009, 103, 043902], i.e., a metamaterial-inspired ultranarrow waveguide channel operating near its cut-off frequency. Such system is not necessarily at resonance, but its peculiar operation may provide enhanced emission over a relatively broad physical area, which may allow enhancement of emission independent of the position of an individual or of a group of molecules along such plasmonic channel, and the possibility to bend and route the emitted energy with large flexibility. We present here extensive theoretical and numerical results that confirm this intuition and may envision a novel method for molecular emission enhancement at the nanoscale, with more flexibility than the conventional Purcell resonance techniques.

  7. Evaluation of an Optimal Cut-Off Point for the Ki-67 Index as a Prognostic Factor in Primary Breast Cancer: A Retrospective Study

    Science.gov (United States)

    Tashima, Rumiko; Nishimura, Reiki; Osako, Tomofumi; Nishiyama, Yasuyuki; Okumura, Yasuhiro; Nakano, Masahiro; Fujisue, Mamiko; Toyozumi, Yasuo; Arima, Nobuyuki

    2015-01-01

    The Ki-67 index is an important biomarker for indicating the proliferation of cancer cells and is considered to be an effective prognostic factor for breast cancer. However, a standard cut-off point for the Ki-67 index has not yet been established. Therefore, the aim of this retrospective study was to determine an optimal cut-off point in order to establish it as a more accurate prognostic factor. Immunohistochemical analysis of the Ki-67 index was performed on 4329 patients with primary breast cancer from August 1987 to March 2012. Out of this sample, there were 3186 consecutive cases from September 1997 with simultaneous evaluations of ER, PgR and HER2 status. Cox's proportional hazard model was used to perform univariate and multivariate analyses of the factors related to OS. The hazard ratios (HR) and the p values were then compared to determine the optimal cut-off point for the Ki-67 index. The median Ki-67 index value was 20.5% (mean value 26.2%). The univariate analysis revealed that there was a statistically significant negative correlation with DFS and OS and the multivariate analysis revealed that the Ki-67 index value was a significant factor for DFS and OS. The top seven cut-off points were then carefully chosen based on the results of the univariate analysis using the lowest p-values and the highest HR as the main selection criteria. The multivariate analysis of the factors for OS showed that the cut-off point of 20% had the highest HR in all of the cases. However, the cutoff point of 20% was only a significant factor for OS in the Luminal/HER2- subtype. There was no correlation between the Ki-67 index value and OS in any of the other subtypes. These data indicate that the optimal cut-off point of 20% is the most effective prognostic factor for Luminal/HER2- breast cancer. PMID:26177501

  8. Symptom-dependent cut-offs of urine metanephrines improve diagnostic accuracy for detecting pheochromocytomas in two separate cohorts, compared to symptom-independent cut-offs.

    Science.gov (United States)

    Cho, Yoon Young; Song, Kee-Ho; Kim, Young Nam; Ahn, Seong Hee; Kim, Hyeonmok; Park, Sooyoun; Suh, Sunghwan; Kim, Beom-Jun; Lee, Soo-Youn; Chun, Sail; Koh, Jung-Min; Lee, Seung Hun; Kim, Jae Hyeon

    2016-10-01

    The development of advanced imaging techniques has increased the detection of subclinical pheochromocytomas. Because of the substantial proportions of subclinical pheochromocytomas, measurement of urine metanephrine concentrations is crucial due to detect or exclude pheochromocytoma. Although urine metanephrines are elevated in symptomatic subjects, diagnostic cut-offs according to the presence of adrenergic symptoms have not been studied. Pheochromocytomas patients who underwent adrenalectomy at Samsung Medical Center and a control group were compared to determine cut-off concentrations of urine metanephrines. An independent population was analyzed for urine metanephrines with different kits to validate the improvement in diagnostic accuracy using adjusted cut-offs. Symptom-dependent cut-offs of urine metanephrines were higher for symptomatic patients (307 μg/day in males, 235 μg/day in females for urine metanephrine, and 1,045 μg/day in males and 457 μg/day in females for urine normetanephrine) than for asymptomatic patients (206 μg/day in males, 199 μg/day in females for urine metanephrine, and 489 μg/day in males and 442 μg/day in females for urine normetanephrine). Symptom-dependent cut-offs of urine metanephrines improved a specificity from 92.7 % to 96.3 % and a high sensitivity of 97.8 % was maintained. Using the Symptom-dependent cut-offs raised diagnostic accuracy by 5.5 % (p <0.001). Similar trend was also observed in an independent population using different hormone kits. Using symptom-dependent cut-offs of urine metanephrines in symptomatic patients for pheochromocytomas resulted in a significant improvement in diagnostic accuracy in two separate cohorts.

  9. Interstellar flow longitude from pickup ion cut-off observations at 1 AU with STEREO and ACE

    Science.gov (United States)

    Möbius, E.; Lee, M. A.; Gloeckler, G.; Drews, C.; Keilbach, D.

    2016-11-01

    A precision determination of the interstellar neutral (ISN) flow direction is important in several ways. As a cardinal axis of the heliosphere it has strong leverage on the plane subtended by the ISN velocity and interstellar magnetic field vector, which controls the shape of the heliosphere and its interaction with the interstellar medium. Continuing observations of the ISN flow through the heliosphere for several decades allow the search for potential temporal variations of the ISN flow and comparison with astronomical observations. Recent efforts to obtain a consistent ISN vector and temperature with Ulysses and IBEX neutral gas observations point to remaining uncertainties and potential systematic effects. In particular, IBEX measurements provide a very precise relation between ISN flow longitude and speed via the hyperbolic trajectory equation, but they contain larger uncertainties along the parameter tube defined by this relation. The pickup ion (PUI) cut-off variation with ecliptic longitude at 1 AU can provide a complementary determination of the ISN flow longitude with high precision. We compare STEREO PLASTIC and ACE SWICS observations with a simple analytical model of the cut-off. We perform a Pearson correlation analysis of the cut-off as a function of ecliptic longitude with its mirrored function and obtain the symmetry axis with a statistical uncertainty <0.1°. Here we test variations of this value due to Poisson fluctuations in the original data with simulations and due to systematic effects with multi year and location ACE SWICS and STEREO PLASTIC samples.

  10. Quantum fields and poisson processes II: Interaction of boson-boson and boson-fermion fields with a cut-off

    Science.gov (United States)

    Bertrand, J.; Gaveau, B.; Rideau, G.

    1985-05-01

    Quantum field evolutions are written as expectation values with respect to Poisson processes in two simple models: interaction of two boson fields (with conservation of the number of particles in one field) and interaction of a boson with a fermion field. The introduction of a cut-off ensures that the expectation values are well-defined.

  11. Site or Size of Waist Circumference, Which one is More important in Metabolic Syndrome?

    OpenAIRE

    Syed Mohd Razi; Gutch Manish; Gupta Kumar Keshav; Kumar Sukriti; Abhinav Gupta

    2016-01-01

    Abdominal obesity is one of the pivotal factors in defining the metabolic syndrome. Abdominal obesity is assessed by the various clinical surrogates among which waist circumference is considered to be simple, inexpensive & sensitive tool. But various controversies surround the exact cut offs and the ideal sites of waist circumference measurement, so in this review we discussed these issues.

  12. Cut-Offs and Response Criteria for the Hospital Universitario La Princesa Index (HUPI) and Their Comparison to Widely-Used Indices of Disease Activity in Rheumatoid Arthritis

    Science.gov (United States)

    Castrejón, Isabel; Ortiz, Ana M.; Toledano, Esther; Castañeda, Santos; García-Vadillo, Alberto; Carmona, Loreto

    2016-01-01

    Objective To estimate cut-off points and to establish response criteria for the Hospital Universitario La Princesa Index (HUPI) in patients with chronic polyarthritis. Methods Two cohorts, one of early arthritis (Princesa Early Arthritis Register Longitudinal [PEARL] study) and other of long-term rheumatoid arthritis (Estudio de la Morbilidad y Expresión Clínica de la Artritis Reumatoide [EMECAR]) including altogether 1200 patients were used to determine cut-off values for remission, and for low, moderate and high activity through receiver operating curve (ROC) analysis. The areas under ROC (AUC) were compared to those of validated indexes (SDAI, CDAI, DAS28). ROC analysis was also applied to establish minimal and relevant clinical improvement for HUPI. Results The best cut-off points for HUPI are 2, 5 and 9, classifying RA activity as remission if ≤2, low disease activity if >2 and ≤5), moderate if >5 and <9 and high if ≥9. HUPI’s AUC to discriminate between low-moderate activity was 0.909 and between moderate-high activity 0.887. DAS28’s AUCs were 0.887 and 0.846, respectively; both indices had higher accuracy than SDAI (AUCs: 0.832 and 0.756) and CDAI (AUCs: 0.789 and 0.728). HUPI discriminates remission better than DAS28-ESR in early arthritis, but similarly to SDAI. The HUPI cut-off for minimal clinical improvement was established at 2 and for relevant clinical improvement at 4. Response criteria were established based on these cut-off values. Conclusions The cut-offs proposed for HUPI perform adequately in patients with either early or long term arthritis. PMID:27603313

  13. Clinical values and optimal cut-off points of basic vital signs in early identiifcation of critical hand, foot, and mouth disease%基础生命体征对危重型手足口病的早期诊断价值

    Institute of Scientific and Technical Information of China (English)

    杜兴媛; 李英; 邓坤; 温淑媚; 蓝灵利; 侯国祯; 张宝明

    2015-01-01

    Objective To study the clinical values of basic vital signs in early identiifcation of critical hand-foot-mouth disease (HFMD). Methods The clinical data of 358 children with severe HFMD [212 cases in stage 2 (central nervous system involvement) and 146 cases in stage 3 (earlier stage of cardiopulmonary failure, critical type)] were reviewed. The diagnostic values of peak temperature and duration of fever, as well as the heart rate (HR), respiratory rate (RR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) in different age groups, for critical HFMD (stage 3) were analyzed using the receiver operating characteristic (ROC) curve. Results HFMD might progress to critical type in case of HR ≥148.5 beats/minutes, RR ≥36.5 times/minutes, SBP≥95 mm Hg, and DBP≥59 mm Hg among children aged 0-1 year. HR≥142.5 times/minutes, RR≥31.5 times/mintes, SBP≥103 mm Hg, and DBP≥60.5 mm Hg in children aged 1-2 years had a certain diagnostic value for critical HFMD. HFMD might progress to critical type in case of HR ≥139.5 times/minutes, RR ≥29.5 times/minutes, and SBP≥103 mm Hg among children ≥3 years of age. The sensitivity and speciifcity of every indicator were higher than 0.517 and 0.769, respectively. The area under the ROC curve (AUC) for peak temperature was 0.507 (P=0.816, compared with AUC=0.5). When the duration of fever was≥5.5 days, the sensitivity and speciifcity were 0.589 and 0.571, respectively. Conclusions HR, RR, and BP are good indicators to identify critical HFMD (stage 3) early. The optimal cut-off points conform to the age characteristics of children. DBP in children ≥3 years of age, peak temperature, and duration of fever have a low value in early identiifcation of critical HFMD.%目的:探讨基础生命体征在早期识别危重型手足口病中的诊断价值。方法收集2010年1月至2014年8月358例重症手足口病患儿(2期重型212例,3期危重型146例)的临床资料,

  14. Estimation of Saliva Cotinine Cut-Off Points for Active and Passive Smoking during Pregnancy—Polish Mother and Child Cohort (REPRO_PL)

    Science.gov (United States)

    Polanska, Kinga; Krol, Anna; Kaluzny, Pawel; Ligocka, Danuta; Mikolajewska, Karolina; Shaheen, Seif; Walton, Robert; Hanke, Wojciech

    2016-01-01

    A reliable assessment of smoking status has significant public health implications and is essential for research purposes. The aim of this study was to determine optimal saliva cotinine cut-off values for smoking during pregnancy. The analyses were based on data from 1771 women from the Polish Mother and Child Cohort. Saliva cotinine concentrations were assessed by high performance liquid chromatography coupled with tandem mass spectrometry (HPLC-ESI + MS/MS). The saliva cotinine cut-off value for active smoking was established at 10 ng/mL (sensitivity 96%, specificity 95%) and for passive smoking at 1.5 ng/mL (sensitivity 63%, specificity 71%). About 5% of the self-reported non-smoking women were classified as smokers based on the cotinine cut-off value. Significantly more younger, single, and less educated self-reported non-smokers had a cotinine concentration higher than 10 ng/mL compared to those who were older, married, and who had a university degree. Close to 30% of the non-smokers who indicated that smoking was not allowed in their home could be classified as exposed to passive smoking based on the cut-off value. The study suggests that self-reported smoking status is a valid measure of active smoking, whereas in the case of passive smoking, a combination of questionnaire data and biomarker verification may be required. PMID:27941658

  15. The Mass Shell of the Nelson Model without Cut-Offs

    CERN Document Server

    Bachmann, S; Pizzo, A

    2011-01-01

    The massless Nelson model describes non-relativistic, spinless quantum particles interacting with a relativistic, massless, scalar quantum field. The interaction is linear in the field. We analyze the one particle sector. First, we construct the renormalized mass shell of the non-relativistic particle for an arbitrarily small infrared cut-off that turns off the interaction with the low energy modes of the field. No ultraviolet cut-off is imposed. Second, we implement a suitable Bogolyubov transformation of the Hamiltonian in the infrared regime. This transformation depends on the total momentum of the system and is non-unitary as the infrared cut-off is removed. For the transformed Hamiltonian we construct the mass shell in the limit where both the ultraviolet and the infrared cut-off are removed. Our approach is constructive and leads to explicit expansion formulae which are amenable to rigorously control the S-matrix elements.

  16. Value of waist circumference, body mass index and hyperinsulinaemia in identifying metabolic syndrome

    Institute of Scientific and Technical Information of China (English)

    Hui TIAN; Jingfang SUN; Changyu PAN; Juming LU; Jingtao DOU; Fangling MA; Xiaoman ZHOU; Fusheng FANG; Yinghong SHAO; Chunlin LI; Jian LI; Xiutang CAO; Shuangtong YAN; Wenwen ZHONG; Yanyan LI

    2008-01-01

    To investigate the significance of waist circum-ference (WC), body mass index (BMI) and hyperinsuli-naemia A (Hlns) in evaluating metabolic syndrome (MS). Clinical data from middle-aged and senile indivi-duals (middle-senile group) who received glucose tol-erance test after diabetes mellitus screening and a group of subjects who received annual oral glucose tolerance test (OGTT) for diabetes mellitus screening (adult group) were collected. Data were collected by use of special mes-sengers, input into a computer data base and analyzed using SAS 5.0 software by expert staff. Abnormal WC and BMI were determined according to International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) criteria. Hlns was ascertained if fasting insulin (Fins)≥15 mU/L, and/or 2-hour insulin after a glucose challenge was (2hPIns)≥80 mU/L. Abnorma-lities in WC, BMI and Hlns were all found to be risk factors for abnormal glucose metabolism, hypertension and dyslipidemia. In the middle-senile group, the abnor-mality rate of WC and Hlns as well as the overall insulin level were significantly higher than those in the adult group. The abnormality rate of BMI was higher in the adult group, and HIns was mostly seen in impaired glu-cose test (IGT) and normal glucose test (NGT). The con-cordance rate of WC and BMI diagnostic criteria for evaluating obesity in the middle-senile and adult groups were 77.5% and 74.3%, respectively. When only the WC criterion was used for evaluating the existence of insulin resistance, there was a 28.2% missed diagnosis rate for MS patients. WC, BMI and Hlns were all risk factors for abnormal glucose metabolism, hypertension and dyslipi-demia. There was differing prevalence in the different populations. The combination of WC, BMI and Hlnsmight be more helpful in identifying MS at early stage.

  17. Less pollution - less raw materials - less noise: Automatic cylinder cut-off technology

    Energy Technology Data Exchange (ETDEWEB)

    1987-01-01

    VW's automatic cylinder cut-off technology displays its advantages especially in city traffic - as road tests have proved. Though no fuel saving was measured on motorways it came up to 16% when driving on country roads and 30% in inner city traffic. One intends to use cylinder cut-off first for diesel cars as the restart reliability of diesel engines is much higher than that of petrol engines. (HW)

  18. Phase properties of the cut-off high-order harmonics

    CERN Document Server

    Khokhlova, M A

    2015-01-01

    The cut-off regime of high-order harmonic generation (HHG) by atoms in an intense laser field is studied numerically and analytically. We find that the cut-off regime is characterized by equal dephasing between the successive harmonics. The change of the harmonic phase-locking when HHG evolves from the cut-off to the plateau regime determines the optimal bandwidth of the spectral region which should be used for attosecond pulse generation via amplitude gating technique. The cut-off regime is also characterized by a linear dependence of the harmonic phase on the fundamental intensity. The proportionality coefficient grows as the cube of the fundamental wavelength, thus this dependence becomes very important for the HHG by mid-infrared fields. Moreover, for every high harmonic there is a {\\it range} of laser intensities providing the generation in the cut-off regime and the atomic response magnitude in this regime can be greater than that in the plateau regime. Thus the cut-off regime substantially contributes ...

  19. Detection of relevant colonic neoplasms with PET/CT: promising accuracy with minimal CT dose and a standardised PET cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Luboldt, Wolfgang [Multiorgan Screening Foundation, Frankfurt (Germany); University Hospital Frankfurt, Department of Radiology, Frankfurt am Main (Germany); University Hospital Dresden, Clinic and Policlinic of Nuclear Medicine, Dresden (Germany); Volker, Teresa; Zoephel, Klaus; Kotzerke, Joerg [University Hospital Dresden, Clinic and Policlinic of Nuclear Medicine, Dresden (Germany); Wiedemann, Baerbel [University Hospital Dresden, Institute of Medical Informatics and Biometrics, Dresden (Germany); Wehrmann, Ursula [University Hospital Dresden, Clinic and Policlinic of Surgery, Dresden (Germany); Koch, Arne; Abolmaali, Nasreddin [University Hospital Dresden, Oncoray, Dresden (Germany); Toussaint, Todd; Luboldt, Hans-Joachim [Multiorgan Screening Foundation, Frankfurt (Germany); Middendorp, Markus; Gruenwald, Frank [University Hospital Frankfurt, Department of Nuclear Medicine, Frankfurt (Germany); Aust, Daniela [University Hospital Dresden, Department of Pathology, Dresden (Germany); Vogl, Thomas J. [University Hospital Frankfurt, Department of Radiology, Frankfurt am Main (Germany)

    2010-09-15

    To determine the performance of FDG-PET/CT in the detection of relevant colorectal neoplasms (adenomas {>=}10 mm, with high-grade dysplasia, cancer) in relation to CT dose and contrast administration and to find a PET cut-off. 84 patients, who underwent PET/CT and colonoscopy (n=79)/sigmoidoscopy (n=5) for (79 x 6+5 x 2)=484 colonic segments, were included in a retrospective study. The accuracy of low-dose PET/CT in detecting mass-positive segments was evaluated by ROC analysis by two blinded independent reviewers relative to contrast-enhanced PET/CT. On a per-lesion basis characteristic PET values were tested as cut-offs. Low-dose PET/CT and contrast-enhanced PET/CT provide similar accuracies (area under the curve for the average ROC ratings 0.925 vs. 0.929, respectively). PET demonstrated all carcinomas (n=23) and 83% (30/36) of relevant adenomas. In all carcinomas and adenomas with high-grade dysplasia (n=10) the SUV{sub max} was {>=}5. This cut-off resulted in a better per-segment sensitivity and negative predictive value (NPV) than the average PET/CT reviews (sensitivity: 89% vs. 82%; NPV: 99% vs. 98%). All other tested cut-offs were inferior to the SUV{sub max}. FDG-PET/CT provides promising accuracy for colorectal mass detection. Low dose and lack of iodine contrast in the CT component do not impact the accuracy. The PET cut-off SUV{sub max}{>=} 5 improves the accuracy. (orig.)

  20. Determination of the optimal cut-off point for ELISA test for diagnosis of brucellosis in Iran

    Directory of Open Access Journals (Sweden)

    Soudbakhsh A

    2009-09-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Finding a reliable diagnostic method for brucellosis is the most challengeable problem. In this study we determined the optimal diagnostic cut-off point for ELISA test."n"nMethods: We gathered 56 confirmed cases of brucellosis. Furthermore blood samples from 126 controls including 73 healthy controls and 53 without brucellosis febrile patients were collected. In all of the cases and controls ELISA Ig G and ELISA Ig M levels were measured and compared with each other by Box plot graph and the Receiver Operating Characteristic (ROC curve. The sensitivity and specificity of ELISA Ig G and Ig M were fixed in different cut-off values and Ig G and Ig M levels yielding maximal sensitivity plus specificity were selected for determination of optimal cut-off point."n"nResults: The nineteen patients had positive blood cultures for Brucella melitensis. The standard agglutination test results were 1/160 or more in 54 patients. The Box plot graph indicated a high degree of dispersion for Ig G and Ig M data in patients with brucellosis compared with febrile patients without brucellosis and healthy controls. We observed partial overlap for Ig M data (not for Ig G between cases and controls. The area under ROC curve for

  1. Evaluation of an Optimal Cut-Off Point for the Ki-67 Index as a Prognostic Factor in Primary Breast Cancer: A Retrospective Study.

    Directory of Open Access Journals (Sweden)

    Rumiko Tashima

    Full Text Available The Ki-67 index is an important biomarker for indicating the proliferation of cancer cells and is considered to be an effective prognostic factor for breast cancer. However, a standard cut-off point for the Ki-67 index has not yet been established. Therefore, the aim of this retrospective study was to determine an optimal cut-off point in order to establish it as a more accurate prognostic factor. Immunohistochemical analysis of the Ki-67 index was performed on 4329 patients with primary breast cancer from August 1987 to March 2012. Out of this sample, there were 3186 consecutive cases from September 1997 with simultaneous evaluations of ER, PgR and HER2 status. Cox's proportional hazard model was used to perform univariate and multivariate analyses of the factors related to OS. The hazard ratios (HR and the p values were then compared to determine the optimal cut-off point for the Ki-67 index. The median Ki-67 index value was 20.5% (mean value 26.2%. The univariate analysis revealed that there was a statistically significant negative correlation with DFS and OS and the multivariate analysis revealed that the Ki-67 index value was a significant factor for DFS and OS. The top seven cut-off points were then carefully chosen based on the results of the univariate analysis using the lowest p-values and the highest HR as the main selection criteria. The multivariate analysis of the factors for OS showed that the cut-off point of 20% had the highest HR in all of the cases. However, the cutoff point of 20% was only a significant factor for OS in the Luminal/HER2- subtype. There was no correlation between the Ki-67 index value and OS in any of the other subtypes. These data indicate that the optimal cut-off point of 20% is the most effective prognostic factor for Luminal/HER2- breast cancer.

  2. Investigation of the negative-mass behaviors occurring below a cut-off frequency

    Energy Technology Data Exchange (ETDEWEB)

    Yao Shanshan; Zhou Xiaoming; Hu Gengkai, E-mail: zhxming@bit.edu.c, E-mail: hugeng@bit.edu.c [School of Aerospace Engineering, Beijing Institute of Technology, Beijing 100081 (China)

    2010-10-15

    Negative-mass phenomena occurring below a cut-off frequency are examined using both theoretical and experimental methods. The paper begins with an investigation of a mass-spring structure, the effective mass of which is shown to be negative below a specific frequency. Due to the decaying nature of lattice waves in the negative-mass system, the transmission drop induced by negative effective mass is demonstrated experimentally. Further investigation is conducted for a rectangular solid waveguide with clamped boundary conditions. It is shown that the lowest bandgap mode of the clamped waveguide can be attributed to negative effective mass below a cut-off frequency. Based on this observation, elastic metamaterials made of a steel grid filled with styrene butadiene rubber are designed and fabricated. Both the simulation and experimental analyses demonstrate that the designed metamaterials have negative effective mass below a cut-off frequency.

  3. Centile Curves and Reference Values for Height, Body Mass, Body Mass Index and Waist Circumference of Peruvian Children and Adolescents

    Directory of Open Access Journals (Sweden)

    Alcibíades Bustamante

    2015-03-01

    Full Text Available This study aimed to provide height, body mass, BMI and waist circumference (WC growth centile charts for school-children, aged 4–17 years, from central Peru, and to compare Peruvian data with North-American and Argentinean references. The sample consisted of 8753 children and adolescents (4130 boys and 4623 girls aged 4 to 17 years, from four Peruvian cities: Barranco, La Merced, San Ramón and Junín. Height, body mass and WC were measured according to standardized techniques. Centile curves for height, body mass, BMI and WC were obtained separately for boys and girls using the LMS method. Student t-tests were used to compare mean values. Overall boys have higher median heights than girls, and the 50th percentile for body mass increases curvilinearly from 4 years of age onwards. In boys, the BMI and WC 50th percentiles increase linearly and in girls, the increase presents a curvilinear pattern. Peruvian children are shorter, lighter and have higher BMI than their counterparts in the U.S. and Argentina; in contrast, age and sex-specific WC values are lower. Height, body mass and WC of Peruvian children increased with age and variability was higher at older ages. The growth patterns for height, body mass, BMI and WC among Peruvian children were similar to those observed in North-American and Argentinean peers.

  4. Secondary proton production at small atmospheric depths as a function of the geomagnetic cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Papini, P. [Florence Univ. (Italy)]|[INFN, Florence (Italy); Grimani, C. [Perugia Univ. (Italy)]|[INFN, Perugia (Italy); Stephens, S.A. [Tata Institute of Fundamental Research, Bombay (International Commission on Radiation Units and Measurements)

    1995-09-01

    A detailed calculation of the energy spectrum of secondary protons in the atmosphere is being carried out in the energy range 20 MeV - 40 GeV. In this calculation, it is taken into account all processes leading to the production of secondary protons as a function of the atmospheric depth has been calculated using all relevant energy loss processes. In this paper, it is examine the effect of the geomagnetic cut-off on the spectral shape of secondary protons specially at energies below the geomagnetic cut-off for small atmospheric depths.

  5. Determination of the accuracy and optimal cut-off point for ELISA test in diagnosis of human brucellosis in Iran.

    Science.gov (United States)

    Hasibi, Mehrdad; Jafari, Sirus; Mortazavi, Habibollah; Asadollahi, Marjan; Esmaeeli Djavid, Gholamreza

    2013-01-01

    In endemic area the most challenging problem for brucellosis is to find a reliable diagnostic method. In this case-control study, we investigated the accuracy of ELISA test for diagnosis of human brucellosis and determined the optimal cut-off value for ELISA results in Iran. The laboratory diagnosis of brucellosis was performed by blood isolation of Brucella organism with a BACTEC 9240 system and/or detection of Brucella antibodies by standard agglutination test (titer ≥ 1:160). Serum level of ELISA IgG and ELISA IgM from 56 confirmed cases of brucellosis and 126 controls were compared with each other by Box plot graph and Receiver Operating Characteristic (ROC) curve. Box plot graphs showed the high degree of dispersion for IgG and IgM data in patients compared with all controls. We observed partially overlapping for IgM data (not for IgG) between cases and controls in graphs. The area under ROC curve for distinguishing between cases and controls was larger for IgG compared to IgM. Based on results of this study, ELISA IgG test was more reliable than ELISA IgM test in diagnosis of human brucellosis in Iran. Using a cut-off of 10 IU/ml and 50 IU/ml had most sensitivity (92.9%) and most specificity (100%) for ELISA IgG test, respectively.

  6. Preoperative diagnosis of breast diseases by dynamic MR mammography. Cut off point establishment for signal intensity ratio

    Energy Technology Data Exchange (ETDEWEB)

    Tsuchiya, Juji; Nagata, Takayasu; Kawagoe, Hajime; Tachibana, Susumu; Kajima, Toshihiko; Hoshino, Mutsuo [Ibi General Hospital, Gifu (Japan); Uno, Takashi; Shimokawa, Kuniyasu

    1997-12-01

    We have revealed that a dynamic study of the breast using MR imaging technique can estimate objectively benign-malignant differentiative diagnosis. Subjects were 41 cases of breast lesion, including 13 cases of breast cancer, 21 cases of mastopathy, six cases of fibroadenoma and one case of intraductal papillomatosis and the results of them were investigated in comparison with histopathological diagnosis. As so the method, we drew up time-signal intensity ratio curve plotting signal intensity ratio at each 30 second of dynamic MR mammography after Gd-DTPA administration. We found a especially high significant difference between cancer and mastopathy, within 90 second after Gd-DTPA administration (p=0.0000). Still more, we established cut off point concerning with establishment of 95% confidence interval, that is, at 30 second after Gd-DTPA administration of point equivalent 1.53 at 60 second equivalent 2.00, at 90 second equivalent 2.47, and about this estimating maneuver using the cut off point we named Dynamic ratio method. We can estimate preoperatively not only benign-malignant differentiative diagnosis with breast tumor, but also neighboring infiltration and lymph node metastasis of breast cancer using this Dynamic ratio method. Over again, Dynamic ratio method provides fine information to preoperative decision of resecting region for breast conserving surgery. The efficiency of this method is sensitivity=92.3%, specificity=89.3% and positive predictive value=80.0%. (author)

  7. CFT dual of the AdS Dirichlet problem : Fluid/Gravity on cut-off surfaces

    CERN Document Server

    Brattan, Daniel K; Loganayagam, R; Rangamani, Mukund

    2011-01-01

    We study the gravitational Dirichlet problem in AdS spacetimes with a view to understanding the boundary CFT interpretation. We define the problem as bulk Einstein's equations with Dirichlet boundary conditions on fixed timelike cut-off hypersurface. Using the fluid/gravity correspondence, we argue that one can determine non-linear solutions to this problem in the long wavelength regime. On the boundary we find a conformal fluid with Dirichlet constitutive relations, viz., the fluid propagates on a `dynamical' background metric which depends on the local fluid velocities and temperature. This boundary fluid can be re-expressed as an emergent hypersurface fluid which is non-conformal but has the same value of the shear viscosity as the boundary fluid. The hypersurface dynamics arises as a collective effect, wherein effects of the background are transmuted into the fluid degrees of freedom. Furthermore, we demonstrate that this collective fluid is forced to be non-relativistic below a critical cut-off radius in...

  8. Value of neck circumference in diagnosis of metabolic syndrome%颈围测量对代谢综合征的诊断价值

    Institute of Scientific and Technical Information of China (English)

    洪真真; 李滢; 柯伟健; 何筱莹; 李延兵

    2016-01-01

    Objective To estimate the value of neck circumference in diagnosis of metabolic syndrome. Methods We analyzed the neck circumference of 523 volunteers and the occurrence of metabolic syndrome among them. Then we updated and revalued their data after follow-up for 1.5 years, meanwhile, we evaulated the value of Body Mass Index (BMI) and neck circumference in predicting metabolic syndrome. Results The increase of neck circumference was closely related to the occurrence of metabolic syndrome , and this tendency continued in the follow-up. Compared with BMI , neck circumference was sensitive in identifying the patients of metabolic syndrome. Conclusion Neck circumference has great value in diagnosis and treatment of metabolic syndrome.%目的:评价颈围在代谢综合征的诊断中的应用价值。方法:分析523例招募志愿者的颈围与代谢综合征发生情况的关系,并对其随访1.5年后重复评价,同时比较颈围与体质指数在预测代谢综合征中的价值。结果:颈围增大与代谢综合征的发病密切相关,且随访1.5年后颈围增大的人群代谢综合征发生率仍较高。与体质指数相比,颈围对代谢综合征有更高的检出率。结论:颈围增大与代谢综合征的发病密切相关,对代谢综合征的诊断及治疗都有一定的价值。

  9. Suppressing the weakly bound states in the photoassociation dynamics by using a frequency cut-off laser pulse

    Institute of Scientific and Technical Information of China (English)

    Lin Feng; Zhang Wei; Zhao Ze-Yu; Cong Shu-Lin

    2012-01-01

    The photoassociation dynamics of ultracold lithium atoms controlled by a cut-off pulse has been investigated theoretically by solving numerically the time-dependent Schr(o)dinger equation using the mapped Fourier grid method.The frequency components of the laser pulse close to the atomic resonance are partly cut off.Compared with the typical Gauss-type pulses,the cut-off pulse is helpful to suppress efficiently the weakly bound states and prepare the associated molecules in the lower vibrational states.Especially,the dependence of photoassociation probability on the cut-off position of the laser pulse is explored.

  10. Effective spectral density functions from finite cut-off frequencies of baths

    CERN Document Server

    Liang, Xian-Ting

    2009-01-01

    Firstly, we obtain the effective spectral density functions of baths for two basic open quantum systems by setting cut-off frequencies of the baths finite. By using the spectral density functions and the conventional ones from infinite cut-off frequency of the baths we investigate the dynamics of open qubits. When the cut-off frequencies of the baths are smaller than about 5 times of the Rabi frequency of the qubits, the two kinds of spectral density functions result in different qubits' dynamics. Secondly, we obtain the effective spectral density functions of the baths for another two complex models from finite cut-off frequencies of the baths and through which we investigate the dynamics of open qubits in these models. One of these models is a quantum system couple to an intermediate harmonic oscillator and both of them couple to their independent baths respectively, and the other is both of them couple to a common bath. The qubit in the later model has longer decoherence and relaxation times. In the invest...

  11. Prevalensi Sarkopenia pada Lansia di Komunitas (Community Dwelling berdasarkan Dua Nilai Cut-off Parameter Diagnosis

    Directory of Open Access Journals (Sweden)

    Vitriana

    2016-09-01

    Full Text Available Sarcopenia, aging muscle mass loss, and function syndromes can lead to decreased quality of life and increased elderly mortality. The availability of various screening methods and operational definitions in different studies has produced different findings of sarcopenia prevalence. The purpose of this study was to discover the prevalence of sarcopenia in Indonesian community-dwelling elderly based on muscle mass measured by bioimpedance analysis, handgrip strength using hand dynamometer, and physical performance based on six minutes walking test with two different cut-off point parameters of sarcopenia, i.e. the cut-off point recommended by Asian Working Group for Sarcopenia (AWGS and the cut-off point based on the reference used in Taiwan elderly population reference due to the lack of references for Indonesian elderly population. A cross-sectional study was conducted to 229 participants (71 men and 158 women from the community-dwelling elderly population between August and December 2014 in Bandung and Jatinangor. The results of the study showed that the sarcopenia prevalence in this study based on AWGS was 9.1% (7.4% in men and 1.7% in women while the prevalence based on the Taiwan reference revealed a prevalence of 40.6% (20.1% in men and 20.5% in women. This highly different prevalences shows the importance of defining a specific cut-off point for elderly population in community-dwelling Indonesia to get a more accurate sarcopenia prevalence.

  12. 76 FR 33161 - Installation and Use of Engine Cut-off Switches on Recreational Vessels

    Science.gov (United States)

    2011-06-08

    ... will then become highlighted in blue. In the ``Document Type'' drop down menu select ``Proposed Rule...'' box, which will then become highlighted in blue. In the ``Keyword'' box, insert ``USCG-2009-0206'' and... and impose a smaller burden on the economy,'' and specifically noted engine cut-off switches...

  13. A New Regularization Mechanism for the Boltzmann Equation Without Cut-Off

    Science.gov (United States)

    Silvestre, Luis

    2016-11-01

    We apply recent results on regularity for general integro-differential equations to derive a priori estimates in Hölder spaces for the space homogeneous Boltzmann equation in the non cut-off case. We also show an a priori estimate in {L^∞} which applies in the space inhomogeneous case as well, provided that the macroscopic quantities remain bounded.

  14. Raised BMI cut-off for overweight in Greenland Inuit – a review

    Directory of Open Access Journals (Sweden)

    Stig Andersen

    2013-08-01

    Full Text Available Background. Obesity is associated with increased morbidity and premature death. Obesity rates have increased worldwide and the WHO recommends monitoring. A steep rise in body mass index (BMI, a measure of adiposity, was detected in Greenland from 1963 to 1998. Interestingly, the BMI starting point was in the overweight range. This is not conceivable in a disease-free, physically active, pre-western hunter population. Objective. This led us to reconsider the cut-off point for overweight among Inuit in Greenland. Design and findings. We found 3 different approaches to defining the cut-off point of high BMI in Inuit. First, the contribution to the height by the torso compared to the legs is relatively high. This causes relatively more kilograms per centimetre of height that increases the BMI by approximately 10% compared to Caucasian whites. Second, defining the cut-off by the upper 90-percentile of BMI from height and weight in healthy young Inuit surveyed in 1963 estimated the cut-off point to be around 10% higher compared to Caucasians. Third, if similar LDL-cholesterol and triglycerides are assumed for a certain BMI in Caucasians, the corresponding BMI in Inuit in both Greenland and Canada is around 10% higher. However, genetic admixture of Greenland Inuit and Caucasian Danes will influence this difference and hamper a clear distinction with time. Conclusion. Defining overweight according to the WHO cut-off of a BMI above 25 kg/m2 in Greenland Inuit may overestimate the number of individuals with elevated BMI.

  15. Potential interface slip analysis of Peribonka Dam plastic concrete cut-off wall

    Energy Technology Data Exchange (ETDEWEB)

    Morency, J.Y.; Chahde, J.; Bigras, A. [Hydro-Quebec, Montreal, PQ (Canada); Garand, P.; Rattue, A. [SNC-Lavalin Inc., Montreal, PQ (Canada)

    2006-07-01

    The Peribonka hydroelectric development is currently under construction near the confluence of the Manouane River with the Peribonka River in Quebec. It includes an 80 m high dam and two dykes of zoned earth fills with a till core, an underground power house with an installed capacity of 385 MW, a diversion tunnel and a spillway. The Peribonka dam will be built on a highly permeable alluvial foundation. The design includes a 10 m high working platform in the river between the cofferdams and a plastic concrete cut-off wall (COW) down to bedrock. The maximum depth of the COW in a narrow canyon will be 115 m. A bi-dimensional finite element stress and deformation analysis software (SDAS) was used to model the stress-strain behaviour of the foundation soils and the COW under the dam. The SDAS software made it possible to determine the vertical deformations as well as the horizontal stress distribution in the foundation soils. It was shown that due to the oedometric nature of the loading of the soil, no significant shear stress was generated due to the soil deformations in the foundation below the axis of the dam. However, the finite element program did not allow hyperbolic model slip elements. As such, it was not possible to evaluate if negative skin friction occurred at the soilplastic concrete interface. For that reason, a one-dimensional model allowing the simulation of negative or positive friction between the soil and the COW was developed. This model considered the elastic-plastic behaviour of the COW using a hyperbolic model. It showed that nowhere, except in the upper 2 to 3 m of the COW embedment in the core, was negative friction able to mobilize the full value of the internal friction angle of the soil. 4 refs., 1 tab., 9 figs.

  16. A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach Burnout Inventory.

    Science.gov (United States)

    Schaufeli, W B; Van Dierendonck, D

    1995-06-01

    In the present study, burnout scores of three samples, as measured with the Maslach Burnout Inventory, were compared: (1) the normative American sample from the test-manual (N = 10,067), (2) the normative Dutch sample (N = 3,892), and (3) a Dutch outpatient sample (N = 142). Generally, the highest burnout scores were found for the outpatient sample, followed by the American and Dutch normative samples, respectively. Slightly different patterns were noted for each of the three components. Probably sampling bias, i.e., the healthy worker effect, or cultural value patterns, i.e., femininity versus masculinity, might be responsible for the results. It is concluded that extreme caution is required when cut-off points are used to classify individuals by burnout scores; only nation-specific and clinically derived cut-off points should be employed.

  17. Predicting Absolute Risk of Type 2 Diabetes Using Age and Waist Circumference Values in an Aboriginal Australian Community

    OpenAIRE

    Odewumi Adegbija; Wendy Hoy; Zhiqiang Wang

    2015-01-01

    Objectives To predict in an Australian Aboriginal community, the 10-year absolute risk of type 2 diabetes associated with waist circumference and age on baseline examination. Method A sample of 803 diabetes-free adults (82.3% of the age-eligible population) from baseline data of participants collected from 1992 to 1998 were followed-up for up to 20 years till 2012. The Cox-proportional hazard model was used to estimate the effects of waist circumference and other risk factors, including age, ...

  18. Association of neck circumference with waist circumference and body mass index in the elderly and its value in diagnosing obesity%老年人颈围与腰围体质指数相关性分析及对肥胖诊断的探讨

    Institute of Scientific and Technical Information of China (English)

    霍亚南; 章玉玲; 徐芳华; 王晨秀; 郑丽

    2016-01-01

    Enter method.An R()C curve analysis was employed to judge the tangent point of NC in central obesity.Results The height,weight and BMI were reduced along with age (all P<0.05),and the waist hip ratio(WHR) was increased along with age(P<0.01) in the elderly.The NC was decreased along with age in males(P<0.01),and the WC was increased along with age in females(Pt<0.01).The NC was longer in males than in females [(36.5±3.0) cm vs.(32.6±2.4) cm,P<0.01].The NC was increased along with body weight,WC and BMI in the elderly:with each 1 kg increase in body weight,the NC was increased by 0.079 cm in males and 0.139 cm in females;with each 1cm increase in WC,the NC increased by 0.073 cm in males and 0.040 cm in females;with each 1 kg/m2 increase in BMI,the NC increased by 0.121 cm in males and 0.065 cm in females;with 1 year increase in age,the NC was decreased by 0.033 cm in males(all P<0.05).when obesity was diagnosed according to both BMI and NC,the NC was longer in the obesity group than in the control group,(P < 0.01).The area under receiver operating characteristic(ROC) curve of NC for diagnosing central obesity showed that the area was 0.802 and 0.743 in males and females,and the optimal cut-off value of NC was 36.85 cm and 31.75 cm in males and females,respectively.Conclusions NC is increased along with the increases of body weight,WC and BMI in the elderly.NC is significantly associated with central obesity.NC is more predictive of the central obesity when the value >36.85 cm in males and >31.75 cm in females.

  19. Phase- and size-adjusted CT cut-off for differentiating neoplastic lesions from normal colon in contrast-enhanced CT colonography

    Energy Technology Data Exchange (ETDEWEB)

    Luboldt, W. [University Hospital Frankfurt, Department of Radiology, Frankfurt (Germany); Multiorgan Screening Foundation, Frankfurt (Germany); University Hospital Essen, Clinic of Angiology, Essen (Germany); Kroll, M.; Wetter, A.; Vogl, T.J. [University Hospital Frankfurt, Department of Radiology, Frankfurt (Germany); Toussaint, T.L. [Multiorgan Screening Foundation, Frankfurt (Germany); Hoepffner, N. [University Hospital Frankfurt, Department of Internal Medicine, Frankfurt (Germany); Holzer, K. [University Hospital Frankfurt, Department of Visceral and Vascular Surgery, Frankfurt (Germany); Kluge, A. [Kerckhoff Heart Center, Department of Radiology, Bad Nauheim (Germany)

    2004-12-01

    A computed tomography (CT) cut-off for differentiating neoplastic lesions (polyps/carcinoma) from normal colon in contrast-enhanced CT colonography (CTC) relating to the contrast phase and lesion size is determined. CT values of 64 colonic lesions (27 polyps <10 mm, 13 polyps {>=}10 mm, 24 carcinomas) were determined by region-of-interest (ROI) measurements in 38 patients who underwent contrast-enhanced CTC. In addition, the height (H) of the colonic lesions was measured in CT. CT values were also measured in the aorta (A), superior mesenteric vein (V) and colonic wall. The contrast phase was defined by xA + (1 - x)V using x as a weighting factor for describing the different contrast phases ranging from the pure arterial phase (x=1) over the intermediate phases (x=0.9-0.1) to the pure venous phase (x=0). The CT values of the lesions were correlated with their height (H), the different phases (xA + (1 - x)V) and the ratio [xA + (1 - x)V]/H. The CT cut-off was linearly adjusted to the imaged contrast phase and height of the lesion by the line y = m[xA + (1 - x)V]/H + y{sub 0}. The slope m was determined by linear regression in the correlation (lesion {proportional_to}[xA + (1 - x)V]//H) and the Y-intercept y{sub 0} by the minimal shift of the line needed to maximize the accuracy of separating the colonic wall from the lesions. The CT value of the lesions correlated best with the intermediate phase: 0.4A+ 0.6V(r=0.8 for polyps {>=}10 mm, r=0.6 for carcinomas, r=0.4 for polyps <10 mm). The accuracy in the differentiation between lesions and normal colonic wall increased with the height implemented as divisor, reached 91% and was obtained by the dynamic cut-off described by the formula: cut-off(A,V,H) = 1.1[0.4A + 0.6V]/H + 69.8. The CT value of colonic polyps or carcinomas can be increased extrinsically by scanning in the phase in which 0.4A + 0.6V reaches its maximum. Differentiating lesions from normal colon based on CT values is possible in contrast-enhanced CTC and

  20. A new perspective of the climatological features of upper-level cut-off lows in the Southern Hemisphere

    Science.gov (United States)

    Pinheiro, Henri Rossi; Hodges, Kevin Ivan; Gan, Manoel Alonso; Ferreira, Nelson Jesuz

    2017-01-01

    This study presents a detailed view of the seasonal variability of upper-level cut-off lows (COLs) in the Southern Hemisphere. The COLs are identified and tracked using data from a 36-year period of the European Centre for Medium Range Weather Forecast reanalysis (ERA-Interim). The objective identification of the COLs uses a new approach, which is based on 300 hPa relative vorticity minima, and three restrictive criteria of the presence of a cold-core, stratospheric potential vorticity intrusion, and cut-off cyclonic circulation. The highest COL activity is in agreement with previous studies, located near three main continental areas (Australia, South America, and Africa), with maximum frequencies usually observed in the austral autumn. The COL mean intensity values show a marked seasonal and spatial variation, with maximum (minimum) values during the austral winter (summer), a unique feature that has not been observed previously in studies based on the geopotential. The link between intensity and lysis is examined, and finds that weaker systems are more susceptible to lysis in the vicinity of the Andes Cordillera, associated with the topographic Rossby wave. Lysis and genesis regions are close to each other, confirming that COLs are quasi-stationary systems. Also, COLs tend to move eastward and are faster over the higher latitudes. The mean growth/decay rates coincide with the major genesis and lysis density regions, such as the significant decay values across the Andes all year. As a consequence of using vorticity for the tracking method a longer lifetime of COLs is detected than in other studies, but this does not affect the total frequency of occurrence. Comparisons with other studies suggest that the differences in seasonality are due to uncertainties in the reanalyses and the methods used to identify COLs.

  1. ASSOCIATION OF IDF CRITERIA OF WAIST CIRCUMFERENCE WITH DIABETES MELLITUS IN A RURAL DIABETIC POPULATION

    OpenAIRE

    Shuba Srinivasan; Jyothi B. Lingegowda; Ramkumar Kurpad R

    2016-01-01

    INTRODUCTION IDF definition of metabolic syndrome uses waist circumference as the main criteria without which metabolic syndrome cannot be diagnosed. The IDF cut-offs for waist circumference is ethnicity specific, but there is a vast heterogeneity amongst South Asians and within the Indian subcontinent itself. MATERIALS AND METHODS This cross-sectional study was conducted on 100 consecutive cases of diabetes in a medical college catering to predominantly rural population who...

  2. Preliminary assessment of neck circumference in benign prostatic hyperplasia in patients with metabolic syndrome

    Science.gov (United States)

    Akin, Yigit; Gulmez, Hakan; Ates, Erhan; Gulum, Mehmet; Savas, Murat

    2017-01-01

    ABSTRACT Objectives To investigate the impact of neck circumference (NC) in the treatment of bening prostatic hyperplasia (BPH) patients with metabolic syndrome (MtS). Additionally, we determined dose response to alpha-blockers and cut-off values for NC and waist circumference (WC), in these patients. Materials and Methods Non-randomized, open-labelled, and multi-centre study was conducted between March 2014 and September 2015. The BPH patients were enrolled and were divided into 2 groups: with MtS (Group 1; n=94) and without MtS (Group 2; n=103). Demographic data, anthropometric measurements, blood analyses, uroflowmetric parameters, post voiding residual urine (PVR), prostate volume, quality of life (QoL) index, NC and WC were recorded. Both groups were administered oral alpha-blockers and response to treatment was evaluated. Receiver-operating characteristic (ROC) curves were obtained and significant p was p<0.05 . Results In total, 197 patients were enrolled with mean age of 60.5±8.1 years. Mean NC and WC were higher in MtS patients (p<0.001). Uroflowmetry parameters and QoL indexes were comparable between groups before treatment. International prostate symptom score, uroflowmetry parameters, and QoL significant improved in Group 2 than Group 1, at 1 st and 6 th months of treatment with alpha-blockers. Success rate of treatment was significant higher in Group 2 than Group 1 (p<0.001). Cut-off values were 42.5cm and 113.5cm for NC and WC respectively, for response to alpha-blockers in BPH patients with MtS. Conclusions MtS can be related with BPH and can negatively affect the response to alpha-blocker treatment. NC can be used for predicting response to alpha-blocker treatment in BPH patients with MtS.

  3. On a holographic dark energy model with a Nojiri-Odintsov cut-off in general relativity

    CERN Document Server

    Khurshudyan, M

    2016-01-01

    In this paper we consider the models of the accelerated expanding large scale universe~(according to general relativity) containing a generalized holographic dark energy with a Nojiri - Odintsov cut - off. The second component of the darkness is assumed to be the pressureless cold dark matter according to observed symmetries of the large scale universe. Moreover, we assume specific forms of the interaction between these two components and besides the cosmographic analysis, we discuss appropriate results from $Om$ and $Om3$ analysis and organize a closer look to the models via the statefinder hierarchy analysis, too. In this way we study mainly impact of the interaction on the dynamics of the background of our universe~(within specific forms of interaction). To complete the cosmographic analysis, the present day values of the statefinder parameters $(r,s)$ and $(\\omega^{\\prime}_{de}, \\omega_{de})$ has been estimated for all cases and the validity of the generalized second law of thermodynamics is demonstrated....

  4. NUMERICAL SIMULATION OF 3-D TURBULENT FLOWS IN A CUT-OFF VALVE AND ANALYSIS OF FLOW CHARACTERISTICS IN PIPE

    Institute of Scientific and Technical Information of China (English)

    He Zhi-guo; Mao Gen-hai; Yuan Xing-ming

    2003-01-01

    The 3-D turbulent flows in a valve pipe were described by the incompressible Reynolds-averaged Navier-Stokes equations with an RNG k-ε turbulence model. With the finite volume method and a body-fitted coordinate system, the discretised equations were solved by the SIMPLEST algorithm. The numerical result of a cut-off valve with curved inlet shows the flow characteristics and the main cause of energy loss when fluid flows through a valve. And then, the boundaries of valve were modified in order to reduce the energy loss. The computational results of modified valve show that the numerical value of turbulent kinetic energy is lower, and that the modified design of the 3-D valve boundaries is much better. The analysis of the result also shows that RNG k-ε turbulence model can successfully be used to predict the 3-D turbulent separated flows and the secondary flow inside valve pipes.

  5. Methodological issues in the design of a rheumatoid arthritis activity score and its cut-offs

    Directory of Open Access Journals (Sweden)

    Collignon O

    2014-07-01

    Full Text Available Olivier Collignon Centre de Recherche Public de la Santé (CRP-Santé, Competences Centre for Methodology and Statistics (CCMS, Strassen, Luxembourg Abstract: Activity of rheumatoid arthritis (RA can be evaluated using several scoring scales based on clinical features. The most widely used one is the Disease Activity Score involving 28 joint counts (DAS28 for which cut-offs were proposed to help physicians classify patients. However, inaccurate scoring can lead to inappropriate medical decisions. In this article some methodological issues in the design of such a score and its cut-offs are highlighted in order to further propose a strategy to overcome them. As long as the issues reviewed in this article are not addressed, results of studies based on standard disease activity scores such as DAS28 should be considered with caution. Keywords: DAS28, disease activity score, penalized logistic regression, clinical prediction, modeling

  6. Edge plasmons and cut-off behavior of graphene nano-ribbon waveguides

    Science.gov (United States)

    Hou, Haowen; Teng, Jinghua; Palacios, Tomás; Chua, Soojin

    2016-07-01

    Graphene nano-ribbon waveguides with ultra-short plasmon wavelength are a promising candidate for nanoscale photonic applications. Graphene edge plasmons are the fundamental and lowest losses mode. Through finite element method, edge plasmons show large effective refractive index and strong field confinement on nanoscale ribbons. The edge plasmons follow a k1/2 dispersion relation. The wavelengths of the edge plasmons and center plasmons differ by a fixed factor. The width of edge plasmon is inversely proportional to wave vector of edge plasmon kedge. Edge defects associate with graphene nano-ribbon induce extra losses and reduce the propagation length. Cut-off width of edge plasmons reduces with increasing frequency. Cut-off width of center plasmon is enlarged by edge component but the enlargement effect diminishing with the increase of kedge. The results are important for the application of graphene plasmon towards ultra-compact photonic devices.

  7. Method and systems for power control of internal combustion engines using individual cycle cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Fedorenko, Y.; Korzhov, M.; Filippov, A.; Atamanenko, N.

    1996-09-01

    A new method of controlling power has been developed for improving efficiency and emissions performance of internal combustion engines at partial load. The method involves cutting-off some of the work cycles, as the load decreases, to obtain required power. Theoretical and experimental material is presented to illustrate the underlying principle, the implementation means and the results for the 4- and 8-cylinder piston engine and a twin rotor Wankel engine applications.

  8. A framework for cut-off sampling in business survey design

    OpenAIRE

    Bee, Marco; Benedetti, Roberto; Espa, Giuseppe

    2007-01-01

    In sampling theory the large concentration of the population with respect to most surveyed variables constitutes a problem which is difficult to tackle by means of classical tools. One possible solution is given by cut-off sampling, which explicitly prescribes to discard part of the population; in particular, if the population is composed by firms or establishments, the method results in the exclusion of the “smallest” firms. Whereas this sampling scheme is common among practitioners, its the...

  9. Evaluation of novel large cut-off ultrafiltration membranes for adenovirus serotype 5 (Ad5 concentration.

    Directory of Open Access Journals (Sweden)

    Piergiuseppe Nestola

    Full Text Available The purification of virus particles and viral vectors for vaccine and gene therapy applications is gaining increasing importance in order to deliver a fast, efficient, and reliable production process. Ultrafiltration (UF is a widely employed unit operation in bioprocessing and its use is present in several steps of the downstream purification train of biopharmaceuticals. However, to date few studies have thoroughly investigated the performance of several membrane materials and cut-offs for virus concentration/diafiltration. The present study aimed at developing a novel class of UF cassettes for virus concentration/diafiltration. A detailed study was conducted to evaluate the effects of (i membrane materials, namely polyethersulfone (PES, regenerated cellulose (RC, and highly cross-linked RC (xRC, (ii nominal cut-off, and (iii UF device geometry at different production scales. The results indicate that the xRC cassettes with a cut-off of approximately 500 kDa are able to achieve a 10-fold concentration factor with 100% recovery of particles with a process time twice as fast as that of a commercially available hollow fiber. DNA and host cell protein clearances, as well as hydraulic permeability and fouling behavior, were also assessed.

  10. Evaluation of novel large cut-off ultrafiltration membranes for adenovirus serotype 5 (Ad5) concentration.

    Science.gov (United States)

    Nestola, Piergiuseppe; Martins, Duarte L; Peixoto, Cristina; Roederstein, Susanne; Schleuss, Tobias; Alves, Paula M; Mota, José P B; Carrondo, Manuel J T

    2014-01-01

    The purification of virus particles and viral vectors for vaccine and gene therapy applications is gaining increasing importance in order to deliver a fast, efficient, and reliable production process. Ultrafiltration (UF) is a widely employed unit operation in bioprocessing and its use is present in several steps of the downstream purification train of biopharmaceuticals. However, to date few studies have thoroughly investigated the performance of several membrane materials and cut-offs for virus concentration/diafiltration. The present study aimed at developing a novel class of UF cassettes for virus concentration/diafiltration. A detailed study was conducted to evaluate the effects of (i) membrane materials, namely polyethersulfone (PES), regenerated cellulose (RC), and highly cross-linked RC (xRC), (ii) nominal cut-off, and (iii) UF device geometry at different production scales. The results indicate that the xRC cassettes with a cut-off of approximately 500 kDa are able to achieve a 10-fold concentration factor with 100% recovery of particles with a process time twice as fast as that of a commercially available hollow fiber. DNA and host cell protein clearances, as well as hydraulic permeability and fouling behavior, were also assessed.

  11. Clustered star formation as a natural explanation for the Halpha cut-off in disk galaxies.

    Science.gov (United States)

    Pflamm-Altenburg, Jan; Kroupa, Pavel

    2008-10-02

    The rate of star formation in a galaxy is often determined by the observation of emission in the Halpha line, which is related to the presence of short-lived massive stars. Disk galaxies show a strong cut-off in Halpha radiation at a certain galactocentric distance, which has led to the conclusion that star formation is suppressed in the outer regions of disk galaxies. This is seemingly in contradiction to recent observations in the ultraviolet which imply that disk galaxies have star formation beyond the Halpha cut-off, and that the star-formation-rate surface density is linearly related to the underlying gas surface density, which is a shallower relationship than that derived from Halpha luminosities. In a galaxy-wide formulation, the clustered nature of star formation has recently led to the insight that the total galactic Halpha luminosity is nonlinearly related to the galaxy-wide star formation rate. Here we show that a local formulation of the concept of clustered star formation naturally leads to a steeper radial decrease in the Halpha surface luminosity than in the star-formation-rate surface density, in quantitative agreement with the observations, and that the observed Halpha cut-off arises naturally.

  12. WAIST CIRCUMFERENCE AS INDICATOR COMPONENTS OF METABOLIC SYNDROME IN THE SIBERIAN POPULATION

    Directory of Open Access Journals (Sweden)

    G. I. Simonova

    2014-01-01

    Full Text Available Object of research: to determine the cut-off point of waist circumference (WC identify the components of metabolic syndrome (MS in a large industrial center of Western Siberia.In the period from 2003 to 2005 in the screening population surveyed 9362 people, including 4268 men (45.6% and 5094 women (54.4%.The response rate was 61%. The study protocol included a sociodemographic data, measurement of blood pressure (BP, anthropometry (height, weight, WC, the definition of biochemical parameters. Statistical analysis was performed using the package SPSS. To determine the cut-off points of the used ROC model.In the group with ≥2 components of MS cut-off point WC from the men was 93.3 cm (sensitivity 72%, specificity 83%, women – 90.2 cm (sensitivity 72%, specificity 62%.The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm (sensitivity 66.8%, specificity 58.1%, for women – 86.5 cm (sensitivity 71.0%, specificity 55.7%. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm (sensitivity 61%, specificity 70.2%, for women – cm (sensitivity 64.1%, specificity 65.9%.Conclusions: Cut-off point from the persons with the presence of ≥2 MS components in Siberian population 45–69 years, in accordance with the ROC analysis are 93.3 cm for men and 90.2 cm for women. The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm, for women – 86.5 cm. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm, for women – 95 cm.

  13. The Development of Appropriate Waist-to-Hip Ratio Cut- off Points: Survey in Large Iranian Adult Population

    Directory of Open Access Journals (Sweden)

    A.S. Jahanlou

    2015-07-01

    Full Text Available Introduction & Objective: Proportion of Waist-to-Hip Ratio (WHR is an indicator of abdominal obesity, which is supported by some studies but rejected by others. The aim of this study was to examine the accuracy of the WHR and obtain suitable cut- off points for detecting obesity among adult Iranians. Materials & Methods: In this cross-sectional-descriptive study the sample consisted of 19366 adults. The data collection took place from 2009 to 2014, using Bioelectrical Impedance Analysis (BIA. The following data were obtained: WHR, Percentile of Body Fat (PBF, To-tal Fat (TF, and Soft Lean Mass (SLM. Sensitivity and specificity, based on World Health Organization’s Gold Standards were calculated for both sexes at three age groups. The data analysis included t-test, chi-square, ROC curve, and linear regression. Results: All study variables were correlated with each other. Age was only correlated with the WHR. Percentages of sensitivity and Negative Predictive Value (NPV were 84.2% and 85.6% in women; 21% and 50.7% in men. Increase in age was associated with increase in sensitivity in men and women, and NPV in men. The suitable cut-off points for men and women were found to be 87.5% and 83.5%, respectively. Conclusion: Waist-to-Hip ration is a suitable indictor of obesity for Iranian women but not men, especially among those who are under 59 years old. (Sci J Hamadan Univ Med Sci 2015; 22 (2: 144-151

  14. Optimal waist-to-height ratio values for cardiometabolic risk screening in an ethnically diverse sample of South African urban and rural school boys and girls.

    Directory of Open Access Journals (Sweden)

    Tandi E Matsha

    Full Text Available BACKGROUND: The proposed waist-to-height ratio (WHtR cut-off of 0.5 is less optimal for cardiometabolic risk screening in children in many settings. The purpose of this study was to determine the optimal WHtR for children from South Africa, and investigate variations by gender, ethnicity and residence in the achieved value. METHODS: Metabolic syndrome (MetS components were measured in 1272 randomly selected learners, aged 10-16 years, comprising of 446 black Africans, 696 mixed-ancestry and 130 Caucasians. The Youden's index and the closest-top-left (CTL point approaches were used to derive WHtR cut-offs for diagnosing any two MetS components, excluding the waist circumference. RESULTS: The two approaches yielded similar cut-off in girls, 0.465 (sensitivity 50.0, specificity 69.5, but two different values in boys, 0.455 (42.9, 88.4 and 0.425 (60.3, 67.7 based on the Youden's index and the CTL point, respectively. Furthermore, WHtR cut-off values derived differed substantially amongst the regions and ethnic groups investigated, whereby the highest cut-off was observed in semi-rural and white children, respectively, Youden's index0.505 (31.6, 87.1 and CTL point 0.475 (44.4, 75.9. CONCLUSION: The WHtR cut-off of 0.5 is less accurate for screening cardiovascular risk in South African children. The optimal value in this setting is likely gender and ethnicity-specific and sensitive to urbanization.

  15. Comparison of the relationship between 4 obesity measure indexes and hyperlipidemia and the optimal cut-off value selection%4种肥胖测量指标与高脂血症关系的比较研究及适宜切点的选择

    Institute of Scientific and Technical Information of China (English)

    王琨; 李淑元; 金力; 王笑峰

    2015-01-01

    目的 比较腰围(waist circumference,WC)、腰臀比(waist hip ratio,WHR)、腰围身高比(waist-to-height ratio,WHtR)、体质指数(body mass index,BMI)4种肥胖测量指标对高脂血症的风险效应,并选择最佳指标计算适宜切点,作为人群高脂血症防控的简便目标.方法 样本数据为泰州人口健康队列Ⅲ期基线调查,应用Pearson相关、Logistic回归来分析4种指标之间及其与血清胆固醇升高(高TC)、三酰甘油升高(高TG)、低密度脂蛋白升高(高LDL)和高密度脂蛋白降低(低HDL)的关联.选择风险贡献最大的指标,计算防控适宜切点及人群归因危险度(population attributable risk,PAR).结果 相关系数矩阵显示,WHtR与各代谢指标的综合相关性最高;调整常见混杂因素后的Logistic回归分析显示,WHtR对高TC、高LDL及低HDL的风险均相对最高,OR (95 %CI)分别为1.34 (1.28~1.35)、1.42 (1.37~1.48)及1.45 (1.30~1.54).而对于高TG,风险最高的指标为WC,调整常见混杂因素后OR(95%CI)为2.09 (1.97~2.22),其余依次为WHtR的1.97 (1.86~2.09),WHR的1.93 (1.82~2.05)和BMI的1.80 (1.75~1.86).可见WHtR对高脂血症有最大的风险效应.性别和年龄分层后,4种指标的风险排序不变.以WHtR作为预测高脂血症的指标选择最优切点,范围为0.51~0.53.以0.52为防控目标计算人群PAR%,可防止人群中约27%的高TG、23%的高TC、近30%的高LDL和16%的低HDL-C的发生.结论 在反映高脂血症的肥胖测量指标中,WHtR具有最大的风险效应.可将WHtR<0.52作为预防高脂血症的简易防控目标,发挥其在健康教育与自我管理中的作用.

  16. Renormalization and Computation II: Time Cut-off and the Halting Problem

    CERN Document Server

    Manin, Yuri I

    2009-01-01

    This is the second installment to the project initiated in [Ma3]. In the first Part, I argued that both philosophy and technique of the perturbative renormalization in quantum field theory could be meaningfully transplanted to the theory of computation, and sketched several contexts supporting this view. In this second part, I address some of the issues raised in [Ma3] and provide their development in three contexts: a categorification of the algorithmic computations; time cut--off and Anytime Algorithms; and finally, a Hopf algebra renormalization of the Halting Problem.

  17. Aligning DNA on Si surface and cutting off by tips of atomic force microscope

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    DNA is a kind of promising molecule as nano-lead to build or connect nano-devices due to its stable linear structure and certain conductivity. Many methods have been applied to constructing nano-patterns by using DNA molecule. In this report it is presented that (-DNA was aligned on Si substrate by using the free-flowing method and then imaged by an atomic force microscope (AFM). After the second liquid flow, a catenary-like pattern and a crossed network of -DNA were formed. In addition, the aligned (-DNA was successfully cut off by tips of AFM.

  18. Sensitivity studies of spin cut-off models on fission fragment observables

    Directory of Open Access Journals (Sweden)

    Thulliez L.

    2016-01-01

    Full Text Available A fission fragment de-excitation code, FIFRELIN, is being developed at CEA Cadarache. It allows probing the characteristics of the prompt emitted particles, neutrons and gammas, during the de-excitation process of fully accelerated fission fragments. The knowledge of the initial states of the fragments is important to accurately reproduce the fission fragment observables. In this paper a sensitivity study of various spin cut-off models, completely defining the initial fission fragment angular momentum distribution has been performed. This study shows that the choice of the model has a significant impact on gamma observables such as spectrum and multiplicity and almost none on the neutron observables.

  19. On the discovery of the Greisen–Zatzepin–Kuzmin cut-off

    Indian Academy of Sciences (India)

    Tadeusz Wibig

    2009-11-01

    The recent claim of the `5 sigma' observation of the Greisen–Zatzepin–Kuzmin cut-off by the HiRes group based on their nine years data is a significant step towards the eventual solution of one of the most intriguing questions in physics for more than 40 years. Recent results from Pierre Auger Observatory seem to confirm the statement. However, the word `significance' is used in the mentioned paper in a sense which is not quite obvious. In the present paper we argue that this claim is a little premature.

  20. Dimensional versus cut-off renormalization and the nucleon-nucleon interaction

    CERN Document Server

    Ghosh, A; Talukdar, B; Ghosh, Angsula; Adhikari, Sadhan K.

    1998-01-01

    The role of dimensional regularization is discussed and compared with that of cut-off regularization in some quantum mechanical problems with ultraviolet divergence in two and three dimensions with special emphasis on the nucleon-nucleon interaction. Both types of renormalizations are performed for attractive divergent one- and two-term separable potentials, a divergent tensor potential, and the sum of a delta function and its derivatives. We allow energy-dependent couplings, and determine the form that these couplings should take if equivalence between the two regularization schemes is to be enforced. We also perform renormalization of an attractive separable potential superposed on an analytic divergent potential.

  1. Dimensional versus cut-off renormalization and the nucleon-nucleon interaction

    Science.gov (United States)

    Ghosh, Angsula; Adhikari, Sadhan K.; Talukdar, B.

    1998-10-01

    The role of dimensional regularization is discussed and compared with that of cut-off regularization in some quantum mechanical problems with ultraviolet divergence in two and three dimensions with special emphasis on the nucleon-nucleon interaction. Both types of renormalizations are performed for attractive divergent one- and two-term separable potentials, a divergent tensor potential, and the sum of a delta function and its derivatives. We allow energy-dependent couplings, and determine the form that these couplings should take if equivalence between the two regularization schemes is to be enforced. We also perform renormalization of an attractive separable potential superposed on an analytic divergent potential.

  2. Usage of neck circumference as novel indicator of erectile dysfunction: a pilot study in Turkish population.

    Science.gov (United States)

    Akin, Y; Gulmez, H; Bozkurt, A; Nuhoglu, B; Usta, M F

    2014-01-01

    Erectile dysfunction (ED) is the most common male sexual problem worldwide. The association between ED and components of metabolic syndrome (MtS) is well established. This study examined neck circumference (NC) as a possible indicator of MtS and also of ED. Ninety-two patients were included and divided into two groups. Group 1 consisted of 47 patients with ED and Group 2 consisted of 45 healthy volunteers. Questionnaires, differences in anthropometric and laboratory measurements between patients with ED and the control group, and a cut-off value for NC were investigated. The mean NC in ED patients was higher in Group 1 than in Group 2 (P = 0.001), and Group 1 also demonstrated more MtS criteria than Group 2 (P circumference for ED and MtS were 105.5 and 102.5 cm respectively. In the light of these findings, NC may be a new component of MtS in ED patients. Additionally, NC may be a novel indicator of central obesity and ED. We suggest that NC values of 35 cm and over may predict ED in patients with MtS.

  3. A clinically based prognostic index for diffuse large B-cell lymphoma with a cut-off at 70 years of age significantly improves prognostic stratification

    DEFF Research Database (Denmark)

    Gang, Anne O; Pedersen, Michael; d'Amore, Francesco

    2015-01-01

    The introduction of rituximab and generally improved health among elderly patients have increased the survival of patients with diffuse large B-cell lymphoma (DLBCL). The International Prognostic Index (IPI) from 1992 is based on pre-rituximab data from clinical trials including several lymphoma...... subtypes. We applied IPI factors to a population-based rituximab-treated cohort of 1990 patients diagnosed 2000-2010 and explored new factors and the optimal prognostic age cut-off for DLBCL. Multivariate-analyses (MVA) confirmed the prognostic value of all IPI factors except the presence of > 1 extranodal...

  4. Characterization of thermal cut-off mechanisms in prismatic lithium-ion batteries

    Science.gov (United States)

    Venugopal, Ganesh

    Lithium-ion (Li-ion) cells that are subjected to electrical abuse, overcharge and external short-circuit in particular, exhibit a rapid increase in cell temperature that could potentially lead to catastrophic disassembly of the cell. For this reason these cells are integrated or combined with one or more safety components that are designed to restrict or even prevent current flow through the cell under abusive conditions. In this work, the characteristics of these components in several prismatic Li-ion cells are studied by monitoring the impedance ( Z) at 1 kHz and the open circuit voltage (OCV) of the discharged cells as a function of temperature. All the cells studied were found to use polyethylene-based shutdown (SD) separators that were irreversibly activated within a narrow temperature range between 130 and 135°C. In some cells irreversible cut-off was also provided by a current interrupt device (CID) or a thermal fuse. Both these devices had a circuit-breaker effect, causing the impedance of the cell to rise infinitely and the OCV to drop to zero. In addition to these irreversible cut-off mechanisms, some cells also contained internal or external positive-temperature-coefficient (PTC) devices that could provide current-limiting capability over a very wide temperature range. The interdependence of the thermal behavior of these components on each other and on other thermally dependant processes like cell venting, separator meltdown and weld joint failure are also discussed.

  5. Determining a diagnostic cut-off on the Teate Depression Inventory

    Directory of Open Access Journals (Sweden)

    Balsamo M

    2014-06-01

    Full Text Available Michela Balsamo, Aristide SagginoDepartment of Psychological Sciences, Humanities and Territory, G. d’Annunzio University of Chieti-Pescara, Chieti, ItalyAbstract: A small but growing body of literature suggests that the Teate Depression ­Inventory (TDI may be an “objective” measure of depression compared with other commonly used scales. Furthermore, the TDI has strong psychometric properties in both clinical and nonclinical samples. The present study aimed to extend the use of TDI by identifying cut-off scores that could differentiate varying levels of depression severity in a group of clinically diagnosed depression disorder patients (N=125. Three receiver operating characteristic curve analyses indicated cut-off scores of 21 (sensitivity =0.86, specificity =0.94, and classification accuracy =0.90; 36 (sensitivity =0.84, specificity =0.96, and classification accuracy =0.92; and 50 (sensitivity =0.81, specificity =0.93, and classification accuracy =0.90, for minimal, mild, moderate, and severe depression, respectively. Results suggest that the TDI measures depression severity across a broad range with high test accuracy and may be appropriately used to screen for depression.Keywords: major depression, ROC curve, self-report scales, Rasch analysis, depression screening

  6. Proceedings from the Fissile Material Cut-off seminar in Stockholm

    Energy Technology Data Exchange (ETDEWEB)

    Arbman, G. [ed.

    1998-07-01

    The Swedish Defence Research Establishment hosted an international expert seminar on the subject of verifying a prohibition of the production of fissile material for nuclear weapons purpose (cut-off) in Stockholm, June 3-5 1998. The objective of the seminar was to provide an opportunity for informal discussions among scientific and technical experts on various technical matters relating to the verification of a future Fissile Material Cut-off Treaty (FMCT). A stated aim of the seminar was to keep issues of scope to a minimum. Invited speakers and commentators were given an opportunity to present their views as written contributions. The present seminar proceedings are essentially the result of these views. In addition, short summaries of the discussions following each session are included. Although an attempt was made to be as complete and accurate as possible in reproducing these discussions, the editors apologise if some important points or statements have been omitted. If so, the main reason is that the documentation of the discussions were based on written notes, not taped recordings. Eight longer contributions have been separately indexed.

  7. Third molar cut-off value in assessing the legal age of 18 in Saudi population.

    Science.gov (United States)

    AlQahtani, Sakher; Kawthar, Alemad; AlAraik, Ayman; AlShalan, Ahmad

    2017-03-01

    Teeth plays a major role in forensic sciences especially in age assessment of an individual, which can be used to aid in criminal or civil matters. The importance of teeth comes from their ability to survive inhumation well and because they are hardly affected by exogenous and endogenous factors. Third molars are the only teeth still developing after the age of 14 years and during the legal age of adulthood, which is 18 years. The consequences of criminal violation can strongly affect the individual's life, it is important to set different parameters to decide whether an individual is a minor or an adult in the absence of documents. Depending on the different legal requirement, such parameters can set above 90% probability for criminal matters and from 51% to civil matters.

  8. Cut-off characterisation of energy spectra of bright fermi sources: Current instrument limits and future possibilities

    Science.gov (United States)

    Romoli, C.; Taylor, A. M.; Aharonian, F.

    2017-02-01

    In this paper some of the brightest GeV sources observed by the Fermi-LAT were analysed, focusing on their spectral cut-off region. The sources chosen for this investigation were the brightest blazar flares of 3C 454.3 and 3C 279 and the Vela pulsar with a reanalysis with the latest Fermi-LAT software. For the study of the spectral cut-off we first explored the Vela pulsar spectrum, whose statistics in the time interval of the 3FGL catalog allowed strong constraints to be obtained on the parameters. We subsequently performed a new analysis of the flaring blazar SEDs. For these sources we obtained constraints on the cut-off parameters under the assumption that their underlying spectral distribution is described by a power-law with a stretched exponential cut-off. We then highlighted the significant potential improvements on such constraints by observations with next generation ground based Cherenkov telescopes, represented in our study by the Cherenkov Telescope Array (CTA). Adopting currently available simulations for this future observatory, we demonstrate the considerable improvement in cut-off constraints achievable by observations with this new instrument when compared with that achievable by satellite observations.

  9. Optimal cut-off criteria for duplex ultrasound for the diagnosis of restenosis in stented carotid arteries: Review and protocol for a diagnostic study

    Directory of Open Access Journals (Sweden)

    Brown Martin M

    2009-07-01

    Full Text Available Abstract Background Carotid angioplasty with stenting is a relatively new, increasingly used, less-invasive treatment for the treatment of symptomatic carotid artery stenosis. It is being evaluated in ongoing and nearly finished randomized trials. An important factor in the evaluation of stents is the occurrence of in-stent restenosis. An un-stented carotid artery is likely to have a more elastic vessel wall than a stented one, even if stenosis is present. Therefore, duplex ultrasound cut-off criteria for the degrees of an in-stent stenosis, based on blood velocity parameters, are probably different from the established cut-offs used for un-stented arteries. Routine criteria can not be applied to stented arteries but new criteria need to be established for this particular purpose. Methods/Design Current literature was systematically reviewed. From the selected studies, the following data were extracted: publication year, population size, whether the study was prospective, duplex ultrasound cut-off criteria reported, which reference test was used, and if there was an indication for selection bias and for verification bias in particular. Previous studies often were retrospective, or the reference test (DSA or CTA was carried out only when a patient was suspected of having restenosis at DUS, which may result in verification bias. Results In general, the velocity cut-off values for stenosis measurements in stented arteries were higher than those reported for unstented arteries. Previous studies often were retrospective, or the reference test (DSA or CTA was carried out only when a patient was suspected of having restenosis at DUS, which may result in verification bias. Discussion To address the deficiencies of the existing studies, we propose a prospective cohort study nested within the International Carotid Stenting Study (ICSS, an international multi-centre trial in which over 1,700 patients have been randomised between stenting and CEA. In this

  10. On the newtonian limit and cut--off scales of isothermal dark matter halos with cosmological constant

    CERN Document Server

    Sussman, R A; Sussman, Roberto A.; Hernandez, Xavier

    2003-01-01

    We examine isothermal dark matter halos in hydrostatic equilibrium with a cosmological constant Lambda =Omega_\\Lambda rho_{crit}c^2, where Omega_\\Lambda=0.7, and rho_{crit} is the present value of the critical density with h=0.65. The Newtonian limit of General Relativity yields equilibrium equations that are different from those arising by merely coupling an ``isothermal sphere'' to the Lambda-field within a Newtonian framework. The conditions for the existence and stability of circular geodesic orbits show the existence of (I) an ``isothermal region'' (0r_1) dominated by the Lambda-field, where the Newtonian potential oscillates and circular orbits exist in disconnected patches of the domain of r; (III) a ``transition region'' (r_20.008 M_\\odot {pc}^3, in agreement with rotation curve studies of dwarf galaxies. Since r_2 marks the largest radius of a stable circular orbit, it provides a ``cut off'' radius. For current estimates of rho_c and velocity dispersion of galactic structures, this is around five tim...

  11. Why did Van Gogh cut off his ear? The problem of alternative explanations in psychobiography.

    Science.gov (United States)

    Runyan, W M

    1981-06-01

    One of the tasks of personality psychology is to explain the behavior of individual human beings. Vincent Van Gogh, for example, cut off the lower half of his left ear and gave it to a prostitute. More than a dozen different explanations of his actions have been proposed. Is one of these explanations true, are all of them true, or, perhaps, are none of them true? And how can we know? This incident is examined in order to explore some of the problems in applying personality theories to the life of a single individual. A sequential procedure for generating and critically evaluating alternative explanatory conjectures is presented a a partial, although not a complete, solution to the problem of multiple interpretations.

  12. Percentile curves for body fatness and cut-offs to define malnutrition in Russians

    Science.gov (United States)

    Nikolaev, D. V.; Rudnev, S. G.; Starunova, O. A.; Eryukova, T. A.; Kolesnikov, V. A.; Ponomareva, E. G.; Soboleva, N. P.; Sterlikov, S. A.

    2013-04-01

    Here, we report first results of the large-scale ongoing bioelectrical impedance body composition study in Russians. By the end of 2012, 216 out of 800 Russian Health Centres submitted raw bioimpedance data on 844,221 adults and children aged 5-80 years, representing nearly 0.6% of the Russian population, who were accessed cross-sectionally using the same type of bioimpedance meter, ABC-01 Medas. Estimates of overweight, obesity, and normal weight obesity prevalence in the general population, as well as characteristics of diagnostic sensitivity and specificity of the conventional WHO BMI-based criteria of obesity depending on age are obtained. The smoothed reference centile curves for percentage fat mass are constructed, and localized cut-offs for fatness and thinness are provided that can be used both at the individual and epidemiological levels.

  13. The Warm DM halo mass function below the cut-off scale

    CERN Document Server

    Angulo, Raul E; Abel, Tom

    2013-01-01

    Warm Dark Matter (WDM) cosmologies are a viable alternative to the Cold Dark Matter (CDM) scenario. Unfortunately, an accurate scrutiny of the WDM predictions with N-body simulations has proven difficult due to numerical artifacts. Here, we report on cosmological simulations that, for the first time, are devoid of those problems, and thus, are able to accurately resolve the WDM halo mass function well below the cut-off. We discover a complex picture, with perturbations at different evolutionary stages populating different ranges in the halo mass function. On the smallest mass scales we can resolve, identified objects are typically centres of filaments that are starting to collapse. On intermediate mass scales, objects typically correspond to fluctuations that have collapsed and are in the process of relaxation, whereas the high mass end is dominated by objects similar to haloes identified in CDM simulations. When explicitly show how the formation of low-mass haloes is suppressed, which translates into a stron...

  14. The puzzle about the radial cut-off in galactic disks

    CERN Document Server

    Narayan, C A; Narayan, Chaitra A.; Jog, Chanda J.

    2003-01-01

    The stellar disk in a spiral galaxy is believed to be truncated physically because the disk surface brightness is observed to fall faster than that for an exponential in the outer, faint regions. We review the literature associated with this phenomenon and find that a number of recent observations contradict the truncation picture. Hence we question the very existence of a physical outer cut-off in stellar disks. We show, in this paper, that the observed drop in the surface brightness profiles in fact corresponds to a negligible decrease in intensity, and that this minor change at the faint end appears to be exaggerated on a log-normal plot. Since minor deviations from a perfect exponential are common throughout the disk, we suggest that such a deviation at the faint end could easily give rise to the observed sharp drop.

  15. From Newton's Law to the Linear Boltzmann Equation Without Cut-Off

    Science.gov (United States)

    Ayi, Nathalie

    2017-01-01

    We provide a rigorous derivation of the linear Boltzmann equation without cut-off starting from a system of particles interacting via a potential with infinite range as the number of particles N goes to infinity under the Boltzmann-Grad scaling. More particularly, we will describe the motion of a tagged particle in a gas close to global equilibrium. The main difficulty in our context is that, due to the infinite range of the potential, a non-integrable singularity appears in the angular collision kernel, making no longer valid the single-use of Lanford's strategy. Our proof relies then on a combination of Lanford's strategy, of tools developed recently by Bodineau, Gallagher and Saint-Raymond to study the collision process, and of new duality arguments to study the additional terms associated with the long-range interaction, leading to some explicit weak estimates.

  16. From Newton's Law to the Linear Boltzmann Equation Without Cut-Off

    Science.gov (United States)

    Ayi, Nathalie

    2017-03-01

    We provide a rigorous derivation of the linear Boltzmann equation without cut-off starting from a system of particles interacting via a potential with infinite range as the number of particles N goes to infinity under the Boltzmann-Grad scaling. More particularly, we will describe the motion of a tagged particle in a gas close to global equilibrium. The main difficulty in our context is that, due to the infinite range of the potential, a non-integrable singularity appears in the angular collision kernel, making no longer valid the single-use of Lanford's strategy. Our proof relies then on a combination of Lanford's strategy, of tools developed recently by Bodineau, Gallagher and Saint-Raymond to study the collision process, and of new duality arguments to study the additional terms associated with the long-range interaction, leading to some explicit weak estimates.

  17. Estimation of cut-off wavelength of rare earth doped single-mode fibers

    Science.gov (United States)

    Kaur, Jagneet; Thyagarajan, K.; Pal, B. P.

    1999-11-01

    A new empirical relation is proposed describing spectral variation of mode-field radius (MFR) as inferred from measurements in the far-field of the fiber. It is shown that using this relation, it is possible to estimate the cut-off wavelength ( λc) of the fiber. The proposed technique is successfully tested through measurements made on two standard step index single-mode fibers, as well as on an erbium doped fiber (EDF) having λc falling within its strong absorption band around 980 nm. This empirical formula is more accurate than the widely used Marcuse's formula to describe spectral dependence of MFR determined through measurements made in the fiber's far-field. The proposed technique is especially suited for estimation of λc of doped fibers in which λc falls within an absorption band.

  18. Refining Game Addiction Questionnairs: Evidence for a natural cut-off point?

    DEFF Research Database (Denmark)

    Nielsen, Rune Kristian

    2013-01-01

    This paper presents data from a pilot study, which was designed to illuminate critical flaws in the currently used instruments used to measure the prevalence of ‘computer game addiction’. The study found that the prevalence rate could be set anywhere between 23% and 0,6% depending on how the data......’ from ‘addicted gamers’ by making implicit assumptions about negative effects explicit will cause prevalence rates to drop even further. Unexpectedly, the data from this modified questionnaire provides preliminary evidence for a natural cut-off point that clearly separates addicted play from normal play...... is unique in the field of prevalence studies of computer game addiction both in its design and its findings. The findings and conclusions need to be addressed by future research in the area....

  19. Determination of the cut-off score of an endoscopic scoring method to predict whether elderly patients with dysphagia can eat pureed diets

    Institute of Scientific and Technical Information of China (English)

    Torao Sakamoto; Akira Horiuchi; Toshiyuki Makino; Masashi Kajiyama; Naoki Tanaka; Masamitsu Hyodo

    2016-01-01

    AIM: To identify the cut-off value for predicting the ability of elderly patients with dysphagia to swallow pureed diets using a new endoscopy scoring method. METHODS: Endoscopic swallowing evaluation of pureed diets were done in patients ≥ 65 years with dysphagia. The Hyodo-Komagane score for endoscopic swallowing evaluation is expressed as the sum(0-12) of four degrees(0-3) with four parameters:(1) salivary pooling in the vallecula and piriform sinuses;(2) the response of glottal closure reflex induced by touching the epiglottis with the endoscope;(3) the location of the bolus at the time of swallow onset assessed by "white-out" following swallowing of test jelly; and(4) pharyngeal clearance after swallowing of test jelly. We used receiver operating characteristic(ROC) curve analysis to retrospectively analyze the association between the total score and successful oral intake of pureed diets. RESULTS: One hundred and seventy-eight patients were enrolled including 113 men(63%), mean age 83 years(range, 66-98). One hundred and twenty-six patients(71%) were able to eat pureed diets during the observation period(mean ± SD, 19 ± 14 d). In ROC analysis, the cut-off value of the score for eating the pureed diets was 7(sensitivity = 0.98; specificity = 0.91).CONCLUSION: The Hyodo-Komagane endoscopic score is useful to predict the ability to eat pureed diets in elderly patients with dysphagia.

  20. Role of neutron and proton system in spin cut off parameter and entropy of {sup 89,90}Y

    Energy Technology Data Exchange (ETDEWEB)

    Rahmatinejad, A. [Department of Physics, Faculty of Science, University of Zanjan, Zanjan (Iran, Islamic Republic of); Razavi, R., E-mail: rrazavin@ihu.ac.ir [Physics Department, Faculty of Science, Imam Hossein Comprehensive University, Tehran (Iran, Islamic Republic of); Kakavand, T. [Department of Physics, Faculty of Science, Imam Khomeini International University, Qazvin (Iran, Islamic Republic of)

    2015-09-15

    The nuclear level densities, entropies and spin cut off parameters have been determined in {sup 89,90}Y nuclei using the BCS model with inclusion of pairing interaction. The results have a good agreement with the recent experimental data on the level densities measured by the Oslo group. In addition, the entropy excess of {sup 90}Y compared to {sup 89}Y as a function of temperature has been extracted. Also, the role of neutron and proton systems in the entropy excess as well as the spin cut off excess have been investigated using the entropy excess ratio and spin cut off excess ratio introduced in our previous publication. The role of the neutron system at low temperatures, the temperatures below critical temperature, in the semi-magic nucleus {sup 89}Y is similar compared to the closed shell proton system in the tin isotopes.

  1. Role of neutron and proton system in spin cut off parameter and entropy of 89,90Y

    Science.gov (United States)

    Rahmatinejad, A.; Razavi, R.; Kakavand, T.

    2015-09-01

    The nuclear level densities, entropies and spin cut off parameters have been determined in 89,90Y nuclei using the BCS model with inclusion of pairing interaction. The results have a good agreement with the recent experimental data on the level densities measured by the Oslo group. In addition, the entropy excess of 90Y compared to 89Y as a function of temperature has been extracted. Also, the role of neutron and proton systems in the entropy excess as well as the spin cut off excess have been investigated using the entropy excess ratio and spin cut off excess ratio introduced in our previous publication. The role of the neutron system at low temperatures, the temperatures below critical temperature, in the semi-magic nucleus 89Y is similar compared to the closed shell proton system in the tin isotopes.

  2. Cut-off effect in antimicrobial activity and in membrane perturbation efficiency of the homologous series of N,N-dimethylalkylamine oxides.

    Science.gov (United States)

    Devínsky, F; Kopecka-Leitmanová, A; Sersen, F; Balgavý, P

    1990-11-01

    The antimicrobial activity of the homologous series of N,N-dimethylalkylamine oxides (DMAO) was found to be quasi parabolically dependent on alkyl chain length with a maximum at n approximately 15 and n approximately 12 for Staphylococcus aureus and Escherichia coli, respectively. The physiochemical properties of DMAOs as characterized by critical micelle concentrations, retention times of 1-alkenes generated from DMAOs by gas-liquid chromatography, Rm values in reversed phase chromatography, and bacterial lipid/aqueous phase partition coefficients were found to correlate with the alkyl chain length. The effect of DMAOs on the structure of the model membrane prepared from isolated lipids from Escherichia coli as detected by a spin probe method was maximal for the alkyl chain length n approximately 10-12 coinciding with the maximum in the antimicrobial activity observed with Escherichia coli. It is suggested that the cut-off in the DMAO antimicrobial activity is caused by the cut-off in the DMAO perturbing effect on the membrane structure.

  3. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia

    Science.gov (United States)

    Ramírez-Vélez, Robinson; López-Cifuentes, Mario Ferney; Correa-Bautista, Jorge Enrique; González-Ruíz, Katherine; González-Jiménez, Emilio; Córdoba-Rodríguez, Diana Paola; Vivas, Andrés; Triana-Reina, Hector Reynaldo; Schmidt-RioValle, Jacqueline

    2016-01-01

    The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box–Cox transformation), M (median), and S (coefficient of variation) tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC) analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9–17.9 years). Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS) sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001). The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia. PMID:27669294

  4. Triceps and Subscapular Skinfold Thickness Percentiles and Cut-Offs for Overweight and Obesity in a Population-Based Sample of Schoolchildren and Adolescents in Bogota, Colombia

    Directory of Open Access Journals (Sweden)

    Robinson Ramírez-Vélez

    2016-09-01

    Full Text Available The assessment of skinfold thickness is an objective measure of adiposity. The aims of this study were to establish Colombian smoothed centile charts and LMS L (Box–Cox transformation, M (median, and S (coefficient of variation tables for triceps, subscapular, and triceps + subscapular skinfolds; appropriate cut-offs were selected using receiver operating characteristic (ROC analysis based on a population-based sample of children and adolescents in Bogotá, Colombia. A cross-sectional study was conducted in 9618 children and adolescents (55.7% girls; age range of 9–17.9 years. Triceps and subscapular skinfold measurements were obtained using standardized methods. We calculated the triceps + subscapular skinfold (T + SS sum. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived using the LMS method. ROC curve analyses were used to evaluate the optimal cut-off point of skinfold thickness for overweight and obesity, based on the International Obesity Task Force definitions. Subscapular and triceps skinfolds and T + SS were significantly higher in girls than in boys (p < 0.001. The ROC analysis showed that subscapular and triceps skinfolds and T + SS have a high discriminatory power in the identification of overweight and obesity in the sample population in this study. Our results provide sex- and age-specific normative reference standards for skinfold thickness values from a population from Bogotá, Colombia.

  5. 绍兴地区汉族成人围度值年龄变化及城乡的比较%Age variation of circumference values and its comparison of urban and rural adults of Shaoxing Han nationality

    Institute of Scientific and Technical Information of China (English)

    旺庆; 李咏兰; 陆舜华; 郑连斌; 弓剑; 张瑜珂

    2013-01-01

    Objective:To study age variation of circumference values and its difference of urban and rural adults of Shaoxing Han in Zhejiang province.Methods:A random sampling method was used to measure the circumference values of 297 adults (144 males,153 females) including the 12 circumference values of the head,neck,chest,inspiratory chest circumference values,expiratory chest circumference values,and the circumference values of the abdomen,hip,thigh,calf,biceps,forearm and maximum biceps.The correlation analysis and variance analysis was performed to investigate the variation of the circumference values of different age groups,around circumference values of u-test; cluster analysis method was used to compare among 21 groups.Results:The neck and trunk circumference values had a significantly linear increase with age increasing,so did the upper limbs circumference values of urban males,urban females and rural females; while the calf circumference values did not change significantly.The upper limb circumference values of rural males had no linear correlation with age,and calf circumference values were decreased with age increasing.The circumference values of males in the 20-year group were significantly different from those of the other age groups; the circumference values of urban females in 20-,30-year groups were significantly different from those of the other age groups; and the circumference values of rural females were different from those in the other age groups.The difference in the circumference values of males and females were not statistically significant between urban and rural.Especially,the 12 circumference values of female were close.In addition,the circumference values of Shaoxing Han were close to those of the Northern Chinese population.And it is closest between urban and rural of Han.Conclusion:Majority circumference values of Shaoxing Han are increasing with age increasing,with no significant difference between urban and rural,which were close to those of

  6. Approach to realize sharp cut-off characteristics multi-ring optical filters; Fukugo ringu kyoshin koha fuiruta no shadan tokusei no kyushunka ni taisuru kento

    Energy Technology Data Exchange (ETDEWEB)

    Furuta, Hirosuke; Tsuruta, Ken' ichi; Miyamoto, Tokuo

    1999-03-01

    Recently, optical filters for wavelength division multiplexing (WDM) systems has been very intensively investigated. However, the report on improved cut-off characteristics is very few. For this reason, we tried to improve cut-off characteristics of filters adding feedback route to the ring resonators. Very sharp cut-off characteristics are obtained. But the attenuation loss become down. It may be very effective to improve the cut-off characteristics of filters to adding a new feedback route to the resonators but some new measurements must be necessary to keep the high stop band loss. (author)

  7. High-speed video of competing and cut-off leaders prior to "upward illumination-type" lightning ground strokes

    Science.gov (United States)

    Stolzenburg, Maribeth; Marshall, Thomas; Karunarathne, Sumedhe; Karunarathna, Nadeeka; Warner, Tom; Orville, Richard

    2013-04-01

    This study presents evidence to test a hypothesis regarding the physical mechanism resulting in very weak "upward illumination" (UI) type ground strokes occurring within a few milliseconds after a normal return stroke (RS) of a negative lightning flash. As described in previous work [Stolzenburg et al., JGR D15203, 2012], these short duration (strokes form a new ground connection, without apparent connection to the main RS, over their relatively short (return path. From a dataset of 170 video flashes acquired in 2011 (captured at 50000 frames per second), we find 20 good UI examples in 18 flashes at 2.5-32.3 km distance from the camera. Average separation values are 1.26 ms and 1.9 km between the ground connections of the UI and main RS. Based on electric field change data for the flashes, the estimated peak current of the UI strokes averages -5.0 kA, about one-third the average value for the preceding RS. In 15 cases the video data show a distinct stepped leader to the UI which develops concurrently with the stepped leader to the main RS. Estimated altitude of the UI leader tip just before the main RS occurs ranges from 0 to 610 m, and in 7 cases steps are visible in the UI leader after the main RS. In most of the examples the RS and UI appear as separate channels for their entire visible portion, but in 5 cases there is a junction indicating the UI leader is a cut-off branch from the main leader. A generalized schematic of the seven main luminosity stages in a typical UI, along with video examples showing each of these stages and electric field change data, will be presented.

  8. Quantum fields and Poisson processes: interaction of a cut-off boson field with a quantum particle

    Energy Technology Data Exchange (ETDEWEB)

    Bertrand, J.; Rideau, G.; Gaveau, B.

    1985-01-01

    The solution of the Schroedinger equation for a boson field interacting with a quantum particle is written as an expectation on a Poisson process counting the variations of the boson-occupation numbers for each momentum. An energy cut-off is needed for the expectation to be meaningful.

  9. Quantum fields and poisson processes: Interaction of a cut-off boson field with a quantum particle

    Science.gov (United States)

    Bertrand, Jacqueline; Gaveau, Bernard; Rideau, Guy

    1985-01-01

    The solution of the Schrödinger equation for a boson field interacting with a quantum particle is written as an expectation on a Poisson process counting the variations of the boson-occupation numbers for each momentum. An energy cut-off is needed for the expectation to be meaningful.

  10. Flexible Lab-Tailored Cut-Offs for Suitability of Formalin-Fixed Tumor Samples for Diagnostic Mutational Analyses

    Science.gov (United States)

    Mariani, Sara; Tondat, Fabrizio; Pacchioni, Donatella; Molinaro, Luca; Barreca, Antonella; Macrì, Luigia; Chiusa, Luigi; di Celle, Paola Francia; Cassoni, Paola; Sapino, Anna

    2015-01-01

    The selection of proper tissues from formalin-fixed and paraffin-embedded tumors before diagnostic molecular testing is responsibility of the pathologist and represents a crucial step to produce reliable test results. The international guidelines suggest two cut-offs, one for the percentage and one for the number of tumor cells, in order to enrich the tumor content before DNA extraction. The aim of the present work was two-fold: to evaluate to what extent a low percentage or absolute number of tumor cells can be qualified for somatic mutation testing; and to determine how assay sensitivities can guide pathologists towards a better definition of morphology-based adequacy cut-offs. We tested 1797 tumor specimens from melanomas, colorectal and lung adenocarcinomas. Respectively, their BRAF, K-RAS and EGFR genes were analyzed at specific exons by mutation-enriched PCR, pyrosequencing, direct sequencing and real-time PCR methods. We demonstrate that poorly cellular specimens do not modify the frequency distribution of either mutated or wild-type DNA samples nor that of specific mutations. This observation suggests that currently recommended cut-offs for adequacy of specimens to be processed for molecular assays seem to be too much stringent in a laboratory context that performs highly sensitive routine analytical methods. In conclusion, new cut-offs are needed based on test sensitivities and documented tumor heterogeneity. PMID:25844806

  11. Intense, Narrow-band THz Emission from a Current Source Immersed in Cut-off of Plasma-like Media

    Science.gov (United States)

    Hur, Min Sup; Ersfeld, Bernhard; Noble, Adam; Suk, Hyyong; Jaroszynski, Dino

    2016-10-01

    Recently we found an interesting behavior of the electromagnetic radiation emerging from cut-off condition of a plasma-like medium, when it is driven by a current source. Differently from conventional total reflection of the incident wave at the cut-off, we found a spatially diffusing and temporally growing electromagnetic field from the current source. Direct result of such diffusion-growth is the selectively enhanced emission (SEE) at the cut-off frequency from a generally broadband current oscillation. We demonstrate examples demonstrating the SEE. One is the two-color-driven THz emission from field ionization of the gas slab located in a tapered waveguide. The emission propagating through the waveguide exhibits a significantly enhanced spectral density at the cut-off frequency. The other example is the THz emission from a magnetized plasma driven by two colliding ultra-short laser pulses. Since a very narrow-band emission can be selectively enhanced from a broadband radiation source, the SEE concept can be used for conversion of a general broadband THz source to a narrow-band one by locating it in a meta-structure such as the waveguide or a plasma-like medium. We discuss other possible systems to which SEE can be applied.

  12. Cut-off Characterisation of Energy Spectra of Bright Fermi Sources: Current instrument limits and future possibilities

    CERN Document Server

    Romoli, C; Aharonian, F

    2016-01-01

    In this paper some of the brightest GeV sources observed by the Fermi-LAT were analysed, focusing on their spectral cut-off region. The sources chosen for this investigation were the brightest blazar flares of 3C 454.3 and 3C 279 and the Vela pulsar using catalogue data and reanalysis with the latest Fermi-LAT software. For the study the spectral cut-off we first explored the Vela pulsar spectrum, whose statistics in the 3FGL catalog allowed strong constraints to be obtained on the parameters. We subsequently performed a new analysis of the flaring blazar SEDs. For these sources we obtained constraints on the cut-off parameters under the assumption that their underlying spectral distribution is described by a power-law with a stretched exponential cut-off. We then highlighted the significant potential improvements on such constraints by observations with next generation ground based Cherenkov telescopes, represented in our study by the Cherenkov Telescope Array (CTA). Adopting currently available simulations ...

  13. Cut-off levels and diagnostic accuracy of infliximab trough levels and anti-infliximab antibodies in Crohn's disease

    DEFF Research Database (Denmark)

    Steenholdt, Casper; Bendtzen, Klaus; Brynskov, Jørn

    2011-01-01

    Reasons for infliximab failure in Crohn's disease and ulcerative colitis are debated. Serum levels of infliximab and anti-infliximab antibodies have been associated with loss of response. We aimed at determining cut-off levels for infliximab and anti-infliximab antibody concentrations associated...

  14. The predictive value of the ratio of neck circumference to thyromental distance in comparison with four predictive tests for difficult laryngoscopy in obstetric patients scheduled for caesarean delivery

    Directory of Open Access Journals (Sweden)

    Anahita Hirmanpour

    2014-01-01

    Full Text Available Background: Preoperative assessment of anatomical landmarks andclinical factors help detect potentially difficult laryngoscopies. The aim of the present study was to compare the ability to predict difficult visualization of the larynx from thefollowing preoperative airway predictive indices, in isolation and combination: Neck circumference to thyromental distance (NC/TMD, neck circumference (NC, modified Mallampatitest (MMT, the ratio of height to thyromental distance (RHTMD, and the upper-lip-bite test (ULBT. Materials and Methods: We collected data on657 consecutive patients scheduled for elective caesarean delivery under general anesthesia requiring endotracheal intubation and then evaluated all five factors before caesarean. An experienced anesthesiologist, not informed of the recorded preoperative airway evaluation, performed the laryngoscopy and grading (as per Cormack and Lehane′s classification. Sensitivity, specificity, and positive and negative predictive values for each airway predictor in isolation and in combination were determined. Results: Difficult laryngoscopy (Grade 3 or 4 occurred in 53 (8.06% patients. There were significant differences in thyromental distance (TMD, RHTMD, NC, and NC/TMD between difficult visualization of larynx and easy visualization of larynx patients (P < 0.05.The main end-point area under curve (AUC of the receiver-operating characteristic (ROC was lower for MMT (AUC = 0.497; 95% Confidence Interval = CI,0.045-0.536 and ULBT (AUC = 0.500, 95% CI, 0.461-0.539 compared to RHTMD, NC, TMD, and NC/TMD score ([AUC = 0.627, 95% CI, 0.589-0.664], [AUC = 0.691; 95% CI, 0.654-0.726], [AUC = 0.606; 95% CI, 0.567-0.643], [AUC = 0.689;95% CI, 0.625-0.724], respectively, and the differences of six ROC curves were statistically significant (P < 0.05. Conclusion: The NC/TM Discomparable with NC, RHTMD, and ULBT for the prediction of difficult laryngoscopy in caes are an delivery.

  15. Extended characterization of a new class of membranes for blood purification: the high cut-off membranes.

    Science.gov (United States)

    Boschetti-de-Fierro, Adriana; Voigt, Manuel; Storr, Markus; Krause, Bernd

    2013-07-01

    High cut-off membranes are a new class of blood purification membranes whose particular characteristics present challenges for commonly-used characterization methods. Dextran sieving curves for representative blood purification membranes of the high-flux and high cut-off types were measured and compared to curves for the glomerular filtration barrier (GFB). The performance was also determined after blood exposure for the most permeable synthetic membranes. High cut-off membranes were observed to be more open than the GFB before blood exposure, but become tighter and more selective after the exposure, keeping the permeation for low and middle molecules while restraining the filtration of large species. Based on dextran sieving experiments for a variety of commercially available blood purification membranes, we present a novel method for classifying blood purification membranes. By using a well-established technique and introducing a new characteristic parameter for the sieving curve--the molecular weight retention onset (MWRO)--a graph of molecular weight cut-off versus molecular weight retention onset provides the landscape of dialysis membrane types. This meaningful representation is based on only one in vitro method, and allows the membrane classification by indirectly considering two structural parameters: pore size and pore size distribution. In this way, the families of low-flux, high-flux, protein leaking, and high cut-off membranes are clearly differentiated. The differentiation allows for the definition of MWCO/MWRO regions for the different types, so that further classification of newly developed membranes can be easily achieved.

  16. Fast Modeling of Large Wave Energy Farms Using Interaction Distance Cut-Off

    Directory of Open Access Journals (Sweden)

    Malin Göteman

    2015-12-01

    Full Text Available In many wave energy concepts, power output in the MW range requires the simultaneous operation of many wave energy converters. In particular, this is true for small point-absorbers, where a wave energy farm may contain several hundred devices. The total performance of the farm is affected by the hydrodynamic interactions between the individual devices, and reliable tools that can model full farms are needed to study power output and find optimal design parameters. This paper presents a novel method to model the hydrodynamic interactions and power output of very large wave energy farms. The method is based on analytical multiple scattering theory and uses time series of irregular wave amplitudes to compute the instantaneous power of each device. An interaction distance cut-off is introduced to improve the computational cost with acceptable accuracy. As an application of the method, wave energy farms with over 100 devices are studied in the MW range using one month of wave data measured at an off-shore site.

  17. Detection of cut-off point for rapid automized naming test in good readers and dyslexics

    Directory of Open Access Journals (Sweden)

    Zahra Soleymani

    2014-01-01

    Full Text Available Background and Aim: Rapid automized naming test is an appropriate tool to diagnose learning disability even before teaching reading. This study aimed to detect the cut-off point of this test for good readers and dyslexics.Methods: The test has 4 parts including: objects, colors, numbers and letters. 5 items are repeated on cards randomly for 10 times. Children were asked to name items rapidly. We studied 18 dyslexic students and 18 age-matched good readers between 7 and 8 years of age at second and third grades of elementary school; they were recruited by non-randomize sampling into 2 groups: children with developmental dyslexia from learning disabilities centers with mean age of 100 months, and normal children with mean age of 107 months from general schools in Tehran. Good readers selected from the same class of dyslexics.Results: The area under the receiver operating characteristic curve was 0.849 for letter naming, 0.892 for color naming, 0.971 for number naming, 0.887 for picture naming, and 0.965 totally. The overall sensitivity and specificity was 1 and was 0.79, respectively. The highest sensitivity and specificity were related to number naming (1 and 0.90, respectively.Conclusion: Findings showed that the rapid automized naming test could diagnose good readers from dyslexics appropriately.

  18. Holographic Dark Energy Model with Hubble Horizon as an IR Cut-off

    CERN Document Server

    Xu, Lixin

    2009-01-01

    The main task of this paper is to realize a cosmic observational compatible present accelerated expansion and past decelerated expansion universe in the framework of holographic dark energy model when the Hubble horizon $H$ as an IR cut-off. When the model parameter $c$ of time variable cosmological constant (CC) $\\Lambda(t)=3c^{2}H^{2}(t)$ becomes time or scale dependent, another extra term is gained in the effective equation of sate (EoS) of the vacuum energy $w^{eff}_{\\Lambda}=-c^2-d\\ln c^{2}/3d\\ln a$. This extra term can make the effective EoS of time variable CC cross the cosmological boundary and phantom-like at present. For the lack of a first principle and fundamental physics theory to obtain the form $c^2$, we give a simple parameterized $c^2$ as an example which is confronted by the cosmic observations including SN Ia, BAO and CMB shift parameter $R$. The result shows that the model is consistent with cosmic observations.

  19. Comparing the Cervista HPV HR test and Hybrid Capture 2 assay in a Dutch screening population: improved specificity of the Cervista HPV HR test by changing the cut-off.

    Directory of Open Access Journals (Sweden)

    Aniek Boers

    Full Text Available The diagnostic performance of the widely-used Cervista HPV HR test was compared to the Hybrid Capture 2 (HC2 test in a Dutch population-based cervical cancer screening program. In 900 scrapings of women with normal cytomorphology, specificity was 90% (95%CI: 87.84-91.87 for the Cervista HPV HR test and 96% (95%CI: 94.76-97.37 for the HC2 test with 93% agreement between both tests (κ = 0.5, p<0.001. The sensitivity for CIN2+ using 65 scrapings of women with histological-confirmed CIN2+ was 91% (95%CI: 80.97-96.51 for the Cervista HPV HR test and 92% (95%CI: 82.94-97.43 for the HC2 test with 95% agreement between both tests (κ = 0.7, p<0.001. Fifty-seven of 60 HC2 negative/Cervista positive cases tested HPV-negative with PCR-based HPV assays; of these cases 56% were defined as Cervista triple-positive with FOZ values in all 3 mixes higher than the second cut-off of 1.93 (as set by manufacturer. By setting this cut-off at 5.0, specificity improved significantly without affecting sensitivity. External validation of this new cut-off at 5.0 in triple-positive scrapings of women selected from the SHENCCASTII database revealed that 22/24 histological normal cases now tested HPV-negative in the Cervista HPV HR test, while CIN2+ lesions remained HPV-positive. The intra-laboratory reproducibility of the Cervista HPV HR test (n = 510 showed a concordance of 92% and 93% for cut-off 1.93 and 5.0 (κ = 0.83 and κ = 0.84, p<0.001 and inter-laboratory agreement of the Cervista HPV HR test was 90% and 93% for cut-off 1.93 and 5.0 (κ = 0.80 and κ = 0.85, p<0.001. In conclusion, the specificity of the Cervista HPV HR test could be improved significantly by increasing the second cut-off from 1.93 to 5.0, without affecting the sensitivity of the test in a population-based screening setting.

  20. Establishing New Cut-Off Limits for Galactose 1-Phosphate-Uridyltransferase Deficiency for the Dutch Newborn Screening Programme.

    Science.gov (United States)

    Kemper, E A; Boelen, A; Bosch, A M; van Veen-Sijne, M; van Rijswijk, C N; Bouva, M J; Fingerhut, R; Schielen, P C J I

    2016-05-21

    Newborn screening for classical galactosemia in the Netherlands is performed by five laboratories and is based on the measurement of galactose 1-phosphate-uridyltransferase (GALT) activity and total galactose (TGAL) in heel prick blood spots. Unexpected problems with the GALT assay posed a challenge to switch to a new assay. The aim of this study was to make an analytical and clinical evaluation of GALT assays to replace the current assay and to establish new cut-off values (COVs).First, the manual assay from PerkinElmer (NG-1100) and the GSP assay were compared by analyzing 626 anonymous heel prick samples in parallel. Secondly, a manual GSP method was evaluated and 2,052 samples were compared with the automated GSP assay. Finally, a clinical evaluation was performed by collecting data from 93 referred newborns.No satisfactory correlation was observed between GALT activity measured with the manual NG-1100 assay and the automated GSP assay. An acceptable correlation was found between the manual and automated GSP assay. Intra- and inter-assay variation of the automated GSP were 1.8-10.0% and 3.1-13.9%, respectively. Evaluation of clinical data demonstrated that adjusting the COVs for GALT to 2.0 U/dl and TGAL to 1,100 μmol/l improved specificity of screening for classical galactosemia.An assay designed for automated processing to measure GALT activity in heel prick samples works equally well when processed manually. We therefore adopted both methods in the Dutch screening laboratories. As a result of this evaluation new COVs for GALT and TGAL have been introduced and are valid from July 2015.

  1. Waist circumference reference values for screening cardiovascular risk factors in Chinese children and adolescents aged 7-18 years%中国7~18岁学龄儿童青少年腰围界值点研究

    Institute of Scientific and Technical Information of China (English)

    马冠生; 杜松明; 房红芸; 蒋竞雄; 季成叶; 马军; 米杰; 宋银子; 熊丰; 严卫丽; 胡小琪; 李艳平

    2010-01-01

    increasing trend occurred from the 90th percentile. The optimal waist circumference thresholds for predicting high blood pressures were at the 75th percentile for both boys and girls, and at the 90th percentiles it could detect at least two of the above three CV risk factors. In comparison with children whose waist circumference was below the 75th percentile, the odds ratio of two CV risk factors doubled among children with waist circumference between 75th and 90th percentile, and increased by 6 times among children with waist circumference above the 90th percentile. The trend of high blood pressure increasing remained significant with waist circumference after having been stratified by BMI category. Conclusion The 75th and the 90th percentile of WC appeared to be the optimal cut-off points for predicting an increased and a substantially increased risk of CV factors in Chinese children and adolescents.

  2. Thickness-Independent Ultrasonic Imaging Applied to Abrasive Cut-Off Wheels: An Advanced Aerospace Materials Characterization Method for the Abrasives Industry. A NASA Lewis Research Center Technology Transfer Case History

    Science.gov (United States)

    Roth, Don J.; Farmer, Donald A.

    1998-01-01

    Abrasive cut-off wheels are at times unintentionally manufactured with nonuniformity that is difficult to identify and sufficiently characterize without time-consuming, destructive examination. One particular nonuniformity is a density variation condition occurring around the wheel circumference or along the radius, or both. This density variation, depending on its severity, can cause wheel warpage and wheel vibration resulting in unacceptable performance and perhaps premature failure of the wheel. Conventional nondestructive evaluation methods such as ultrasonic c-scan imaging and film radiography are inaccurate in their attempts at characterizing the density variation because a superimposing thickness variation exists as well in the wheel. In this article, the single transducer thickness-independent ultrasonic imaging method, developed specifically to allow more accurate characterization of aerospace components, is shown to precisely characterize the extent of the density variation in a cut-off wheel having a superimposing thickness variation. The method thereby has potential as an effective quality control tool in the abrasives industry for the wheel manufacturer.

  3. Modeling and analysis on spark discharge of capacitive circuit with cut-off type protection%截止型保护方式下容性电路短路火花放电模型及分析

    Institute of Scientific and Technical Information of China (English)

    于月森; 张望; 孟庆海; 伍小杰

    2013-01-01

    提出截止型输出短路保护方式下本质安全型开关变换器火花放电的容性等效电路模型.通过在IEC火花试验装置上进行试验,研究截止型保护方式下容性电路火花放电的规律,建立截止型保护方式下容性电路火花放电数学模型.分析与实验表明,建立的数学模型与实际基本相符;截止放电模式与自然放电模式在火花放电规律方面有显著的差异;截止放电模式下减小截止时间和减小电容值均能提高本质安全性能,但在不同取值范围效果不同.%It was proposed that the equivalent circuit model of intrinsically safe switching converter with cut-off type output short circuit protection was capacitive circuit with cut-off type protection. The discharge characteristic of the capacitive circuit with cut-off type protection was found out through a large number of spark discharge experiment in IEC spark test apparatus. The spark discharge mathematical model was established. Analysis and experimental results show that mathematical model is consistent with the reality. The spark discharge laws are significant differences between natural discharge mode and cut-off discharge mode. Under natural discharge mode, both shortening the discharge time and reducing the capacitance value could improve the performance of intrinsical safety, but there are different effects in different value range.

  4. Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice?

    Directory of Open Access Journals (Sweden)

    Helmut Schröder

    Full Text Available BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC and waist to height ratio (WHtR in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO among normal and overweight individuals was analyzed. DESIGN: Data were obtained from a study conducted from 1998 to 2000 in a representative national sample of 1521 children and adolescents aged 6 to 17 years (50.0% female in Spain. WC and WHtR measurements were obtained in addition to BMI. AO was defined as WHtR ≥0.50 (WHtR-AO, sex and age specific WC≥90(th percentile (WC-AO1, and sex and age specific WC cut-off values associated with high trunk fat measured by by dual-energy X-ray absorptiometry (WC-AO2. RESULTS: IOTF- based overweight and obsity prevalence was 21.5% and 6.6% in children and 17.4% and 5.2% in adolescents, respectively. Abdominal obesity (AO was defined as WHtR≥0.50 (WHtR-AO, sex- and age-specific WC≥90th percentile (WC-AO1, and sex- and age-specific WC cut-off values associated with high trunk fat measured by dual-energy X-ray absorptiometry (WC-AO2. The respective prevalence of WHtR-AO, WC-AO1, and WC-AO2 was 21.3% (24.6% boys; 17.9% girls, 9.4% (9.1% boys; 9.7% girls, and 26.8% (30.6% boys;22.9% girls in children and 14.3% (20.0% boys; 8.7% girls, 9.6% (9.8% boys; 9.5% girls, and 21.1% (28.8% boys; 13.7% girls in adolescents. CONCLUSION: The prevalence of AO in Spanish children and adolescents is of concern. The high proportion of AO observed in young patients who are normal weight or overweight indicates a need to include waist circumference measurements in routine clinical practice.

  5. Metacognitive impairments in schizophrenia are arrested at extreme levels of psychopathy: The cut-off effect.

    Science.gov (United States)

    Abu-Akel, Ahmad; Heinke, Dietmar; Gillespie, Steven M; Mitchell, Ian J; Bo, Sune

    2015-11-01

    Psychopathy and metacognitive difficulties have been associated with the occurrence of violence in schizophrenia. However, evidence suggests that nonschizophrenic psychopaths match or even outperform healthy controls on tests of metacognition. We hypothesize that the metacognitive difficulties associated with schizophrenia may be ameliorated by comorbid psychopathy. To this end, metacognition (using the Metacognition Assessment Scale-Abbreviated [MAS-A]) and psychopathy (using the Hare Psychopathy Checklist-Revised [PCL-R]) are assessed in 79 patients with schizophrenia with a history of criminal offending. Piecewise regression reveals that the association between metacognition and psychopathy changes from a negative to a positive association at a breakpoint corresponding to a score of 24 on the PCL-R. This score is within the range of the cut-off point used for the diagnosis of psychopathy in Europe, which corresponds to a score of 26 on the PCL-R. The patients scoring above 24 on the PCL-R demonstrated better overall metacognitive abilities, suggesting that these patients constitute a specific group in which schizophrenia has an attenuated impairing effect on metacognition. However, this effect was absent for the Mastery subscale of the MAS-A, which refers to the ability to use one's own mental states to solve social and psychological dilemmas. Our results suggest that the relative preservation of metacognitive abilities in schizophrenic patients with extreme levels of psychopathy may contribute to their offending behavior as it may enable them to understand how to manipulate and extort their victims. However, enhancing the Mastery domain of metacognition in these patients may attenuate this offending behavior.

  6. Evaluating the Possibility of Defining Cut-Off Points for ΔFA% in Order to Differentiate Four Major Types of Peri-Tumoral White Matter Tract Involvement

    Directory of Open Access Journals (Sweden)

    Deilami

    2015-07-01

    Full Text Available Background Diffusion tensor imaging (DTI and its different scalar values such as fractional anisotropy (FA have recently been used for evaluation of peri-tumoral white matter (WM involvement to help define safer surgical excision margins. Objectives The purpose of this study is to evaluate the possibility of defining diagnostic cut-off points for differentiating four major types of peri-tumoral WM involvement using FA. Patients and Methods DTI was performed in 12 patients with high presumption of having brain tumors, on a 1.5 T MRI scanner. DTI data was processed by MedINRIA software. Two-hundred region of interests (ROI were evaluated: 100 in the lesion zone and the rest in the normal WM in the contralateral hemisphere. FA value related to each ROI was measured, and the percentage of FA decrement (ΔFAs% was calculated. Results Of the 100 ROIs on the lesion side, 74 were related to high-grade lesions, 23 to low-grade ones, and three to “gliosis”. There were 54 “infiltrated”, 22 “displaced”, 15 “disrupted”, and 9 “edematous” tracts. The major type of fiber involvement, both in low-grade and high-grade tumors was “infiltrated, whereas “edematous” fibers comprised the minority. ΔFA% was more than -35 for “displaced” and “edematous” fibers, and less than -35 for the majority of “disrupted” ones, but “infiltrated” fibers had scattered distribution. Mean ΔFA% was the least for “disrupted”, followed by “infiltrated”, “edematous” and “displaced” parts. Conclusion Introducing definite diagnostic cut-points was not possible, due to overlap. Based on the fact that “disruption” is the most aggressive process, a sensitivity analysis was carried out for “disrupted” fibers for several presumptive cut-off points.

  7. General cutting-off die for trapezoidal sheet%梯形料片通用切断模设计

    Institute of Scientific and Technical Information of China (English)

    徐柏鸿

    2013-01-01

      介绍了一种可快速调整刀口间隙、切口位置、角度的梯形料通用切断模,配套自动矫平送料机,实现了切断模的自动化生产,提高了生产效率,降低了生产成本,取得了较好的经济效益。%A general cutting-off die being able to quickly adjust the trapezoidal sheet was presented which was used in the automatic leveling feeder. Through implementing the auto⁃matic production using cutting-off die, the production efficiency was improved and its cost was reduced.

  8. Cut-off analysis of 19-cell Yb-doped double-cladding rod-type photonic crystal fibers.

    Science.gov (United States)

    Poli, F; Coscelli, E; Alkeskjold, T T; Passaro, D; Cucinotta, A; Leick, L; Broeng, J; Selleri, S

    2011-05-09

    Yb-doped double-cladding large mode area rod-type photonic crystal fibers are a key component for power scaling in fiber laser systems. Recently, designs with 19-cell core defect, that is with 19 missing air-holes in the center of the photonic crystal cladding, have been proposed, with reported core diameter up to 100 μm. In this paper an analysis of the cut-off wavelength of the first high-order mode in such low-NA fibers is reported, accounting for different approaches for the definition of the cladding effective index. Results have shown that taking into account the finite fiber cross-section and considering the first cladding mode of the actual fiber is mandatory to obtain a correct estimate of the cut-off wavelength.

  9. Ordinary mode reflectometry. Modification of the scattering and cut-off responses due to the shape of localized density fluctuations

    Energy Technology Data Exchange (ETDEWEB)

    Fanack, C.; Boucher, I.; Heuraux, S.; Leclert, G. [Centre National de la Recherche Scientifique (CNRS), 54 - Nancy (France). Lab. de Physique du Solide; Clairet, F.; Zou, X.L. [Association Euratom-CEA, Centre d`Etudes de Cadarache, 13 - Saint-Paul-lez-Durance (France). Dept. de Recherches sur la Fusion Controlee

    1996-01-01

    Ordinary wave reflectometry in a plasma containing a localized density perturbation is studied with a 1-D model. The phase response is studied as a function of the wavenumber and position of the perturbation. It is shown that it strongly depends upon the perturbation shape and size. For a small perturbation wavenumber, the response is due to the oscillation of the cut-off layer. For larger wavenumbers, two regimes are found: for a broad perturbation, the phase response is an image of the perturbation itself; for a narrow perturbation, it is rather an image of the Fourier transform. For tokamak plasmas it turns out that, for the fluctuation spectra usually observed, the phase response comes primarily from those fluctuations that are localized at the cut-off. Results of a 2-D numerical model show that geometry effects are negligible for the scattering by radial fluctuations. (author). 18 refs.

  10. [Receiver operating characteristic analysis and the cost--benefit analysis in determination of the optimal cut-off point].

    Science.gov (United States)

    Vránová, J; Horák, J; Krátká, K; Hendrichová, M; Kovaírková, K

    2009-01-01

    An overview of the use of Receiver Operating Characteristic (ROC) analysis within medicine is provided. A survey of the theory behind the analysis is offered together with a presentation on how to create a ROC curve and how to use Cost--Benefit analysis to determine the optimal cut-off point or threshold. The use of ROC analysis is exemplified in the "Cost--Benefit analysis" section of the paper. In these examples, it can be seen that the determination of the optimal cut-off point is mainly influenced by the prevalence and the severity of the disease, by the risks and adverse events of treatment or the diagnostic testing, by the overall costs of treating true and false positives (TP and FP), and by the risk of deficient or non-treatment of false negative (FN) cases.

  11. 颈围预测代谢综合征的可行性及价值%A Study of Feasibility and Value of Neck Circumference in Predicting the Metabolic Syndrome

    Institute of Scientific and Technical Information of China (English)

    崔文丽; 秦秀娟; 任晓华; 孙婷

    2015-01-01

    目的:探讨颈围预测代谢综合征( metabolic syndrome, MS)的可行性及价值。方法选择2013年1月—2014年10月在石家庄市第一医院进行健康体检并符合排除标准的702例,测量颈围及腰围,检测血压、空腹血糖、甘油三酯及高密度脂蛋白胆固醇,并进行分析比较。结果本研究702例中男351例,女351例,颈围异常127例,颈围正常575例。统计学分析结果显示,腰围、空腹血糖、甘油三酯及高密度脂蛋白胆固醇颈围正常组和颈围异常组比较差异有统计学意义(P0.05)。本研究中共12例确诊为MS,占1.7%,颈围异常患MS的危险是颈围正常的1.4倍。结论随着颈围增大,MS相关指标异常的比例逐渐增高,颈围可作为预测MS的一个指标。%Objective To explore the feasibility and value of neck circumference in predicting the metabolic syn-drome ( MS) . Methods 702 selected cases were admitted to Shijiazhuang First Hospital during January 2013 and October 2014 and met the inclusion and exclusion criteria, and neck circumference and waist circumference, blood pressure, fasting blood glucose, triglycerides and high-density lipoprotein protein cholesterol were measured, analyzed and compared. Results Among 702 cases in this study, 351 cases were male and 351 were female, 127 cases were of abnormal neck circumference, and 575 cases were normal. Statistics showed that waist circumference, blood pressure, FBG, TG, HDL-C of comparison ab-normal neck circumference group and normal neck circumference group was statistically significant ( P0. 05). In this study, 12 cases of MS were confirmed, accounting for 1. 7%, risk of metabolic syndrome of abnormal neck circumference was 1. 4 times higher than that of the normal neck. Conclusion MS related indicators in-crease with increase of neck circumference, which can be a predictor of MS.

  12. Improved nonparametric estimation of the optimal diagnostic cut-off point associated with the Youden index under different sampling schemes.

    Science.gov (United States)

    Yin, Jingjing; Samawi, Hani; Linder, Daniel

    2016-07-01

    A diagnostic cut-off point of a biomarker measurement is needed for classifying a random subject to be either diseased or healthy. However, the cut-off point is usually unknown and needs to be estimated by some optimization criteria. One important criterion is the Youden index, which has been widely adopted in practice. The Youden index, which is defined as the maximum of (sensitivity + specificity -1), directly measures the largest total diagnostic accuracy a biomarker can achieve. Therefore, it is desirable to estimate the optimal cut-off point associated with the Youden index. Sometimes, taking the actual measurements of a biomarker is very difficult and expensive, while ranking them without the actual measurement can be relatively easy. In such cases, ranked set sampling can give more precise estimation than simple random sampling, as ranked set samples are more likely to span the full range of the population. In this study, kernel density estimation is utilized to numerically solve for an estimate of the optimal cut-off point. The asymptotic distributions of the kernel estimators based on two sampling schemes are derived analytically and we prove that the estimators based on ranked set sampling are relatively more efficient than that of simple random sampling and both estimators are asymptotically unbiased. Furthermore, the asymptotic confidence intervals are derived. Intensive simulations are carried out to compare the proposed method using ranked set sampling with simple random sampling, with the proposed method outperforming simple random sampling in all cases. A real data set is analyzed for illustrating the proposed method.

  13. Successful use of combined high cut-off haemodialysis and bortezomib for acute kidney injury associated with myeloma cast nephropathy.

    LENUS (Irish Health Repository)

    Ward, F

    2012-05-01

    We present the case of a 58-year old female with de novo dialysis-dependent acute kidney injury (AKI) secondary to myeloma cast nephropathy. The patient underwent extended high cut-off haemodialysis (HCO-HD), in conjunction with bortezomib-based chemotherapy, and soon became dialysis independent with normal renal function. To our knowledge, this is the first time this treatment strategy has been employed successfully in an Irish centre.

  14. Sinus cut-off sign: A helpful sign in the CT diagnosis of diaphragmatic rupture associated with pleural effusion

    Energy Technology Data Exchange (ETDEWEB)

    Kaya, Seyda Ors [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey)]. E-mail: skaya@pamukkale.edu.tr; Karabulut, Nevzat [Pamukkale University Medical School, Department of Radiology, Denizli (Turkey); Yuncu, Gokhan [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey); Sevinc, Serpil [Pamukkale University Medical School, Department of Thoracic Surgery, Denizli (Turkey); Kiroglu, Yilmaz [Pamukkale University Medical School, Department of Radiology, Denizli (Turkey)

    2006-08-15

    The objective of our study was to describe the 'sinus cut-off' sign at CT in the diagnosis of diaphragmatic rupture in patients with blunt abdominal trauma complicated with pleural effusion, and evaluate its utility in an experimental model. Between January 2004 and March 2005, we observed an unusual interruption of costophrenic sinus at CT in three patients with blunt abdominal trauma accompanied with pleural effusion. This observation prompted us to evaluate the utility of this sign in an experimental model. Laparotomically, we created 2 cm diapragmatic lacerations at each hemidiaphragm in two rabbits and pushed up the abdominal viscera with omentum through the defect. To simulate hemothorax, we also injected 5-10 mL of diluted contrast material into the pleural space. Using a dual-slice helical CT scanner, limited thoracoabdominal CT examination was performed before and after injection of intrapleural contrast material. The images were analyzed for the presence of CT signs for diaphragmatic injury. The left posterior costophrenic sulcus was interrupted in all of the three patients with left pleural effusion. While it was associated with other findings of diaphragmatic injury, the 'sinus cut-off sign' was the sole finding in one patient. The sinus cut-off sign was observed on the CT scans of 100% of the rabbits with a left and right sided diaphragmatic rupture. The 'sinus cut-off sign' is useful and can increase the CT detection of acute diaphragmatic injury associated with pleural effusion.

  15. The first cut-off wall in the Indian Himalayas for the dam of the Dhauliganga hydroelectric project

    Energy Technology Data Exchange (ETDEWEB)

    Brunner, W.G. [Bauer Maschinen GmbH, Berlin (Germany)

    2006-07-01

    This paper provided details a Bauer cutter used to build a cut-off wall for the Dhaulinganga power plant project in the Himalayan mountains. The dam for the project was built as a 56 m high concrete-faced rockfill dam with a length of 270 m at the crown. A cut-off wall was constructed on the upstream side of the dam extending down from the dam's plinth to the bedrock level. A Bauer cutter was used to key the cut-off wall straight into the bedrock, which omitted the need for a grout curtain. The cut-off wall is 1 m thick and 70 m deep, with a total area of 8000 m{sup 2}. The wall was constructed as a series of primary and secondary panels. Excavation of the panels was carried out in single bites by the Bauer DHG hydraulic diaphragm wall grabs, supported a box chisel, cross chisel and a Bauer BC 40 rock cutter. Trench stability was provided by bentonite slurry. The closing forces were activated by a cylinder which was installed vertically inside the base body. The Bauer cutter continuously removed soil and rock from the bottom of the trench for mixing with the bentonite slurry. The slurry was then pumped through a ring main of hose pipes to a desanding plant where it was cleaned and returned to the trench. Advantages offered by using the cutter included a consistently high output, an extremely high degree of verticality, watertight joints, and the ability to cut through hard boulders. Use of the cutter at the Dhaulinganga site showed that the project could not be carried out successfully without the use of the cutter, which was used whenever grab and chisel methods were unable to achieve satisfactory rates of penetration. Deployment of the cutter was essential to key the cut-off wall into the underlying bedrock. It was concluded that the Dhualinganga project will provide a model for future power generation projects in the Indian Himalayas. 11 figs.

  16. Further performance evaluation of 5.3 μm cut-off Hawaii-2RG detectors

    Science.gov (United States)

    Ives, Derek; Beckmann, Udo; Alvarez, Domingo; Finger, Gert; Geimer, Christoph; Heininger, Matthias; Mehrgan, Leander; Tulloch, Simon

    2016-07-01

    ESO has now delivered or tested in-house, four new 5.3 μm cut-off H2RG detectors, for various projects, such as MATISSE for the VLTI and the upgrade project for CRIRES, the cryogenic high-resolution infrared echelle spectrograph for the VLT. The specified instruments have required the implementation of some of the more unusual read out options for these detectors, which may have already been used by other groups, for example, the line-reset-read and line-read-reset modes rather than the standard global reset mode. The detectors are also offered with both output speed options, that is, the standard slow, low noise readout and the faster, higher noise readout, where > 10 frames/s are possible. In the process of building these detector systems and implementing these new options we have delved deeper into some of the lesser known features of these detectors and tried to characterize them more fully. It is important that these characteristics are well understood before delivery of the next generation of detectors for the ELTs where high speed and windowing options are required. We obtain very good performance at 2 Mpixel/s pixel speeds with less than 40 e- rms read noise, in all other aspects such as linearity, noise versus number of non-destructive reads and cross talk then the performance of the outputs is the same as slow speed operation. However, the high speed output stages are quite complex to operate, they need to be very well tuned and are prone to oscillation, if not set correctly. We will report on the best bias options to optimize their performance. Some stability issues are also seen with the slow outputs and this is also reported. Likewise we have observed differences between global reset and line reset for the detectors, manifested in a significant increase in detector full well for the line reset option, this also will be reported on. We have also determined that there may be signal induced by the detector readout clocking process for certain detector

  17. Reference intervals of complete blood count constituents are highly correlated to waist circumference: Should obese patients have their own "normal values?"

    NARCIS (Netherlands)

    Vuong, J.; Qiu, Y.; La, M.; Clarke, G.; Swinkels, D.W.; Cembrowski, G.

    2014-01-01

    Body mass index (BMI), the prevalent indicator of obesity, is not easily grasped by patients nor physicians. Waist circumference (WC) is correlated to obesity, is better understood and has a stronger relationship to the metabolic syndrome. We compiled WC, complete blood count (CBC) parameters as wel

  18. Accuracy and cut-off point selection in three-class classification problems using a generalization of the Youden index.

    Science.gov (United States)

    Nakas, Christos T; Alonzo, Todd A; Yiannoutsos, Constantin T

    2010-12-10

    We study properties of the index J(3), defined as the accuracy, or the maximum correct classification, for a given three-class classification problem. Specifically, using J(3) one can assess the discrimination between the three distributions and obtain an optimal pair of cut-off points c(1)sum of the correct classification proportions will be maximized. It also serves as the generalization of the Youden index in three-class problems. Parametric and non-parametric approaches for estimation and testing are considered and methods are applied to data from an MRS study on human immunodeficiency virus (HIV) patients.

  19. Relationship between Mid-Upper Arm Circumference and Body Mass Index in Inpatients

    Science.gov (United States)

    Benítez Brito, Néstor; Suárez Llanos, José Pablo; Fuentes Ferrer, Manuel; Oliva García, Jose Gregorio; Delgado Brito, Irina; Pereyra-García Castro, Francisca; Caracena Castellanos, Nieves; Acevedo Rodríguez, Candelaria Xiomara; Palacio Abizanda, Enrique

    2016-01-01

    Introduction Nutritional screening is a fundamental aspect of the initial evaluation of the hospitalised patient. Body Mass Index (BMI) in association with other parameters is a good marker of malnutrition (<18.5 kg/m2), but it presents the handicap that the great majority of patients cannot be weighed and measured. For this reason it is necessary to find other indicators that can be measured in these patients. Objectives 1) Analyse the relationship between BMI and Mid-Upper Arm Circumference (MUAC); 2) establish a cut-off point of MUAC equivalent to BMI <18.5 kg/m2. Materials and Methods The anthropometric data of patients hospitalised over the period 2004–2013 were retrospectively revised. The following variables were collected: weight, height, BMI, MUAC, sex and age. Results 1373 patients were evaluated, who presented a mean weight of: 65.04±15.51 kg; height: 1.66±0.09 m; BMI: 23.48±5.03 kg/m2; MUAC: 26.95±4.50 cm; age: 56.24±16.77. MUAC correlates suitably to BMI by means of the following equation (simple linear regression): BMI = − 0.042 + 0.873 x MUAC (cm) (R2 = 0.609), with a Pearson r value of 0.78 (p<0.001). The area under the curve of MUAC for the diagnosis of malnutrition was 0.92 (95% CI: 0.90–0.94; p<0.001). The MUAC value ≤22.5 cm presented a sensitivity of 67.7%, specificity of 94.5%, and a correct classification of 90%. No significant statistical differences were found in the cut-off point of MUAC for the diagnosis of malnutrition based on sex (p = 0.115) and age (p = 0.694). Conclusions 1) MUAC correlates positively and significantly with BMI. 2) MUAC ≤ 22.5 cm correlates properly with a BMI of <18.5 kg/m2, independent of the age or sex of the patient, although there are other alternatives. MUAC constitutes a useful tool as a marker of malnutrition, fundamentally in patients for whom weight and height cannot be determined. PMID:27494612

  20. {sup 18}F-FDG PET/CT for detection of malignant peripheral nerve sheath tumours in neurofibromatosis type 1: tumour-to-liver ratio is superior to an SUV{sub max} cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Salamon, Johannes [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Hospital Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Veldhoen, Simon [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); University Medical Centre Wuerzburg, Department of Diagnostic and Interventional Radiology, Wuerzburg (Germany); Apostolova, Ivayla [Otto-von-Guericke University, Department of Radiology and Nuclear Medicine, Magdeburg (Germany); Bannas, Peter; Yamamura, Jin; Herrmann, Jochen; Adam, Gerhard; Derlin, Thorsten [University Medical Centre Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Friedrich, Reinhard E. [University Medical Centre Hamburg-Eppendorf, Department of Oral and Maxillofacial Surgery, Hamburg (Germany); Mautner, Victor F. [University Medical Centre Hamburg-Eppendorf, Department of Neurology, Hamburg (Germany)

    2014-02-15

    To evaluate the usefulness of normalising intra-tumour tracer accumulation on {sup 18}F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) to reference tissue uptake for characterisation of peripheral nerve sheath tumours (PNSTs) in neurofibromatosis type 1 (NF1) compared with the established maximum standardised uptake value (SUVmax) cut-off of >3.5. Forty-nine patients underwent FDG PET/CT. Intra-tumour tracer uptake (SUVmax) was normalised to three different reference tissues (tumour-to-liver, tumour-to-muscle and tumour-to-fat ratios). Receiver operating characteristic (ROC) analyses were used out to assess the diagnostic performance. Histopathology and follow-up served as the reference standard. Intra-tumour tracer uptake correlated significantly with liver uptake (r{sub s} = 0.58, P = 0.016). On ROC analysis, the optimum threshold for tumour-to-liver ratio was >2.6 (AUC = 0.9735). Both the SUVmax cut-off value of >3.5 and a tumour-to-liver ratio >2.6 provided a sensitivity of 100 %, but specificity was significantly higher for the latter (90.3 % vs 79.8 %; P = 0.013). In patients with NF1, quantitative {sup 18}F-FDG PET imaging may identify malignant change in neurofibromas with high accuracy. Specificity could be significantly increased by using the tumour-to-liver ratio. The authors recommend further evaluation of a tumour-to-liver ratio cut-off value of >2.6 for diagnostic intervention planning. (orig.)

  1. Dynamic Changes, Cut-Off Points, Sensitivity, and Specificity of Laboratory Data to Differentiate Macrophage Activation Syndrome from Active Disease

    Directory of Open Access Journals (Sweden)

    Raheleh Assari

    2015-01-01

    Full Text Available Purpose. To compare the laboratory data and changes in these data between patients with MAS and patients with flare-up of the autoimmune diseases. Methods. In a prospective study, the static laboratory data and dynamic changes in the selected data in 17 consecutive patients with MAS and 53 patients with active disease of SJIA, PJIA, Kawasaki disease, and SLE were compared. The ROC curve analysis was used to evaluate cut-off points, sensitivity, and specificity of the static and dynamic laboratory data to differentiate between MAS and active disease. Results. In the MAS group, the mean CRP3, ALT, AST, total bilirubin, ferritin, LDH, PT, PTT, and INR were significantly higher and the mean WBC2, PMN2, Lymph2, Hgb1, 2, 3, ESR2, serum albumin, and sodium were significantly lower than in control group. Some of the important cut-off points were PLT2 38.5, ALT > 38, WBC 5277 ng/mL. Conclusion. The dynamic changes in some laboratory data, especially PLT, can differentiate between MAS and active disease. The changes in WBC, PMN, and ESR and the levels of the liver enzymes may also be helpful in the early differentiation. Very high levels of ferritin may also help the diagnosis along with other clinical and laboratory signs.

  2. Cut-off scaling of high-harmonic generation driven by a femtosecond visible optical parametric amplifier

    Science.gov (United States)

    Cirmi, Giovanni; Lai, Chien-Jen; Granados, Eduardo; Huang, Shu-Wei; Sell, Alexander; Hong, Kyung-Han; Moses, Jeffrey; Keathley, Phillip; Kärtner, Franz X.

    2012-10-01

    We studied high-harmonic generation (HHG) in Ar, Ne and He gas jets using a broadly tunable, high-energy optical parametric amplifier (OPA) in the visible wavelength range. We optimized the noncollinear OPA to deliver tunable, femtosecond pulses with 200-500 µJ energy at the 1 kHz repetition rate with excellent spatiotemporal properties, suitable for HHG experiments. By tuning the central wavelength of the OPA while keeping other parameters (energy, duration and beam size) constant, we experimentally studied the scaling law of cut-off energy with the driver wavelength in helium. Our measurements show a λ1.7 + 0.2 dependence of the HHG cut-off photon energy over the full visible range in agreement with previous experiments of near- and mid-IR wavelengths. By tuning the central wavelength of the driver source, the high-order harmonic spectra in the extreme ultraviolet cover the full range of photon energy between ˜25 and ˜100 eV. Due to the high coherence intrinsic in HHG, as well as the broad and continuous tunability in the extreme UV range, a high energy, high repetition rate version of this source might be an ideal seed for free electron lasers.

  3. STS-114: Engine Cut-Off Sensors Are a No-Go: Teaching Notes for NASA Case Study

    Science.gov (United States)

    Ransom, Khadijah S.; Johnson, Grace K.

    2013-01-01

    This case study format is intended to simulate the experience of facing the same difficult challenges and making the same critical decisions as managers, engineers, and scientists in the Space Shuttle Program. It has been designed for use in the classroom setting to help students develop skills related to decision-making. Students will read about the engine cut-off sensor anomaly which created challenges during the STS-114 mission and have the opportunity to make decisions as lead NASA engineers and Mission Management Team members. Included within this document are three case study presentation options - class discussion, group activity, and open-ended research. Please read the full case prior to in-class presentation to allow ample time for students' analysis and reflection, as well as to prepare additional questions. activities or exercises, material selection, etc. Depending upon the setting of your presentation and the number of participants, please choose at least one presentation format beforehand and plan accordingly. You may expect the following learning objectives by using the proposed formats. Learning Objectives: To enable students to experience the responsibilities of NASA management, engineers, and analysis; to discover possible procedures for investigating system anomalies; to become familiar with the liquid hydrogen low level engine cut-off sensor, including its function, connecting components, and location within the Space Shuttle; and to encourage critical analysis and stimulating discussion of Space Shuttle mission challenges.

  4. Effects of inductive waves on multi-band below-cut-off transmission in waveguides loaded with dielectric metamaterials

    Directory of Open Access Journals (Sweden)

    Fang Chen

    2014-10-01

    Full Text Available Unusual backward and forward wave propagation in below cut-off waveguides loaded with dielectric metamaterials comprised of linear arrays of dielectric resonators (DRs has been investigated by using theoretical, numerical, and experimental methods. Transmission bands were shown to correspond to three lowest resonances in arrays and were analyzed by using the concepts of magneto- and electro-inductive (MI and EI waves describing the transfer of resonance excitation along the chains of coupled resonators. Equivalent circuit models (ECMs have been constructed to describe MI and EI wave propagation and to obtain the dispersion diagrams. Good agreement between the obtained data and the results of full-wave simulations, theoretical calculations, and experiments provided an opportunity to determine coupling coefficients characterizing interaction between DRs in arrays at various resonances. It was shown that ripples observed in below cut-off transmission bands are transmission resonances caused by Fabry-Perot oscillations of inductive waves at impedance mismatch at the array ends. Fitting the transmission spectra for MI/EI waves in arrays, calculated by using the Transfer Matrix Method to the spectra obtained by using full-wave simulations/measurements, allowed for determining the ECM parameters to fully characterize the DR array properties.

  5. Patient Acceptable Symptom State in Self-Report Questionnaires and Composite Clinical Disease Index for Assessing Rheumatoid Arthritis Activity: Identification of Cut-Off Points for Routine Care

    Directory of Open Access Journals (Sweden)

    Fausto Salaffi

    2015-01-01

    Full Text Available Objective. To provide information on the value of Patient Acceptable Symptom State (PASS in rheumatoid arthritis (RA by the identification of PASS thresholds for patient-reported outcomes (PROs composite scores. Methods. The characteristics of RA patients with affirmative and negative assignment to PASS were compared. Contributors to physician response were estimated by logistic regression models and PASS thresholds by the 75th percentile and receiver-operating characteristic (ROC curve methods. Results. 303 RA patients completed the study. All PROs were different between the PASS (+ and PASS (− groups (p<0.0001. The thresholds with the 75th percentile approach were 2.0 for the RA Impact of Disease (RAID score, 2.5 for the PRO-CLinical ARthritis Activity (PRO-CLARA index, and 1.0 for the Recent-Onset Arthritis Disability (ROAD questionnaire. The cut-off values for Clinical Disease Activity Index (CDAI were in the moderate range of disease activity. Assessing the size of the logistic regression coefficients, the strongest predictors of PASS were the disease activity (p=0.0007 and functional state level (0.006. Conclusion. PASS thresholds were relatively high and many patients in PASS had moderate disease activity states according to CDAI. Factors such as disease activity and physical function may influence a negative PASS.

  6. How does a low-mass cut-off in the stellar IMF affect the evolution of young star clusters?

    CERN Document Server

    Kouwenhoven, M B N; de Grijs, R; Rose, M; Kim, Sungsoo S

    2014-01-01

    We investigate how different stellar initial mass functions (IMFs) can affect the mass loss and survival of star clusters. We find that IMFs with radically different low-mass cut-offs (between 0.1 and 2 Msun) do not change cluster destruction time-scales as much as might be expected. Unsurprisingly, we find that clusters with more high-mass stars lose relatively more mass through stellar evolution, but the response to this mass loss is to expand and hence significantly slow their dynamical evolution. We also argue that it is very difficult, if not impossible, to have clusters with different IMFs that are initially "the same", since the mass, radius and relaxation times depend on each other and on the IMF in a complex way. We conclude that changing the IMF to be biased towards more massive stars does speed up mass loss and dissolution, but that it is not as dramatic as might be thought.

  7. Neck circumference as an effective measure for identifying cardio-metabolic syndrome: a comparison with waist circumference.

    Science.gov (United States)

    Luo, Yuqi; Ma, Xiaojing; Shen, Yun; Xu, Yiting; Xiong, Qin; Zhang, Xueli; Xiao, Yunfeng; Bao, Yuqian; Jia, Weiping

    2017-03-01

    Neck circumference is a new anthropometric index for estimating obesity. We aimed to determine the relationship between neck circumference and body fat content and distribution as well as the efficacy of neck circumference for identifying visceral adiposity and metabolic disorders. A total of 1943 subjects (783 men, 1160 women) with a mean age of 58 ± 7 years were enrolled in this cross-sectional study. Metabolic syndrome was defined according to the standard in the 2013 China Guideline. Analyses were conducted to determine optimal neck circumference cutoff points for visceral adiposity quantified by magnetic resonance imaging, and to compare the performance of neck circumference with that of waist circumference in identifying abdominal obesity and metabolic disorders. Visceral fat content was independently correlated with neck circumference. Receiver operating characteristic curves showed that the area under the curve for the ability of neck circumference to determine visceral adiposity was 0.781 for men and 0.777 for women. Moreover, in men a neck circumference value of 38.5 cm had a sensitivity of 56.1 % and specificity of 83.5 %, and in women, a neck circumference value of 34.5 cm had a sensitivity of 58.1 % and specificity of 82.5 %. These values were the optimal cutoffs for identifying visceral obesity. There were no statistically significant differences between the proportions of metabolic syndrome and its components identified by an increased neck circumference and waist circumference. Neck circumference has the same power as waist circumference for identifying metabolic disorders in a Chinese population.

  8. Correlation of Real Time PCR Cycle Threshold Cut-Off with Bordetella pertussis Clinical Severity.

    Directory of Open Access Journals (Sweden)

    Shelly Bolotin

    Full Text Available Bordetella pertussis testing performed using real-time polymerase chain reaction (RT-PCR is interpreted based on a cycle threshold (Ct value. At Public Health Ontario Laboratories (PHOL, a Ct value <36 is reported as positive, and Ct values ≥36 and <40 are reported as indeterminate. PHOL reported indeterminate results to physicians and public health units until May 2012, after which these results were only reported to physicians. We investigated the association between Ct value and disease symptom and severity to examine the significance of indeterminate results clinically, epidemiologically and for public health reporting. B. pertussis positive and indeterminate RT-PCR results were linked to pertussis cases reported in the provincial Integrated Public Health Information System (iPHIS, using deterministic linkage. Patients with positive RT-PCR results had a lower median age of 10.8 years compared to 12.0 years for patients with indeterminate results (p = 0.24. Hospitalized patients had significantly lower Ct values than non-hospitalized patients (median Ct values of 20.7 vs. 31.6, p<0.001. The proportion of patients reporting the most indicative symptoms of pertussis did not differ between patients with positive vs. indeterminate RT-PCR results. Taking the most indicative symptoms of pertussis as the gold-standard, the positive predictive value of the RT-PCR test was 68.1%. RT-PCR test results should be interpreted in the context of the clinical symptoms, age, vaccination status, prevalence, and other factors. Further information on interpretation of indeterminate RT-PCR results may be needed, and the utility of reporting to public health practitioners should be re-evaluated.

  9. Cross section of reaction 181Ta(p,nγ)181W and the influence of the spin cut-off parameter on the cross section

    Institute of Scientific and Technical Information of China (English)

    ZHANG Jun-Jie; HU Bi-Tao

    2011-01-01

    In this work,the program Cindy was modified to calculate the formation cross section of each energy level of residual nucleus 181W resulting from the reaction 181Ta(p,nγ)181 W.The concerned cross sections calculated at proton energy Ep=4.5-8.5 MeV agreed well with experimental results.The influence of the spin cut-off parameter in the energy level density model on the cross section was studied.The obtained results show that the influence of spin cut-off is obvious for lower energy levels.

  10. Lipid ratios and appropriate cut off values for prediction of diabetes: a cohort of Iranian men and women

    Directory of Open Access Journals (Sweden)

    Hadaegh Farzad

    2010-08-01

    Full Text Available Abstract Background Dyslipidemia is a risk factor for incident type 2 diabetes; however, no study has specifically assessed the lipid ratios (i.e. total cholesterol (TC/high density lipoprotein cholesterol (HDL-C and triglyceride (TG/HDL-C as predictors of diabetes. We aimed to compare the independent association between the different lipid measures with incident diabetes over a median follow up of 6.4 years in Iranian men and women. Method The study population consisted of 5201 non diabetic (men = 2173, women = 3028 subjects, aged ≥20 years. The risk factor adjusted odds ratios (ORs for diabetes were calculated for every 1 standard deviation (SD change in TC, log-transformed TG, HDL-C, non-HDL-C, TC/HDL-C and log-transformed TG/HDL-C using multivariate logistic regression analysis. Receiver operator characteristic (ROC curve analysis was used to define the points of the maximum sum of sensitivity and specificity (MAXss of each lipid measure as a predictor of diabetes. Result We found 366 (146 men and 220 women new diabetes cases during follow-up. The risk-factor-adjusted ORs for a 1 SD increase in TG, TC/HDL-C and TG/HDL-C were 1.23, 1.27 and 1.25 in men; the corresponding risks in females were 1.36, 1.14, 1.39 respectively (all p Conclusion TC/HDL-C and TG/HDL-C showed similar performance for diabetes prediction in men population however; among women TG/HDL-C highlighted higher risk than did TC/HDL-C, although there was no difference in discriminatory power. Importantly, HDL-C had a protective effect for incident diabetes only among women.

  11. A clinically based prognostic index for diffuse large B-cell lymphoma with a cut-off at 70 years of age significantly improves prognostic stratification: population-based analysis from the Danish Lymphoma Registry.

    Science.gov (United States)

    Gang, Anne O; Pedersen, Michael; d'Amore, Francesco; Pedersen, Lars M; Jensen, Bo A; Jensen, Paw; Møller, Michael B; Mourits-Andersen, Hans T; Pedersen, Robert S; Klausen, Tobias W; de N Brown, Peter

    2015-01-01

    The introduction of rituximab and generally improved health among elderly patients have increased the survival of patients with diffuse large B-cell lymphoma (DLBCL). The International Prognostic Index (IPI) from 1992 is based on pre-rituximab data from clinical trials including several lymphoma subtypes. We applied IPI factors to a population-based rituximab-treated cohort of 1990 patients diagnosed 2000-2010 and explored new factors and the optimal prognostic age cut-off for DLBCL. Multivariate-analyses (MVA) confirmed the prognostic value of all IPI factors except the presence of > 1 extranodal lesion. The optimal age cut-off was 70 years. In a MVA of albumin, lymphocyte count, sex, immunoglobulin G, bulky disease, hemoglobin and B-symptoms, only albumin was prognostic. We propose: (1) a modified DLBCL prognostic index (DLBCL-PI) including: age (70 years), performance status (PS), lactate dehydrogenase (LDH), stage and albumin level, and (2) a separate age-adjusted DLBCL-PI for patients ≤ 70 years including PS, LDH, albumin level and > 1 extranodal lesion, however excluding stage.

  12. Impact of High-Cut-Off Dialysis on Renal Recovery in Dialysis-Dependent Multiple Myeloma Patients: Results from a Case-Control Study.

    Directory of Open Access Journals (Sweden)

    Hans U Gerth

    Full Text Available High-cut-off hemodialysis (HCO-HD can effectively reduce high concentrations of circulating serum free light chains (sFLC in patients with dialysis-dependent acute kidney injury (AKI due to multiple myeloma (MM. Therefore, the aim of this study was to analyze renal recovery in a retrospective single-center cohort of dialysis-dependent MM patients treated with either conventional HD (conv. HD or HCO-HD.The final cohort consisted of 59 patients treated with HCO-HD (n = 42 or conv. HD (n = 17. A sustained sFLC response was detected in a significantly higher proportion of HCO-HD patients (83.3% compared with conv. HD patients (29.4%; p = 0.007. The median duration of sFLC required to reach values <1000 mg/l was 14.5 days in the HCO-HD group and 36 days in the conv. HD group. The corresponding rates of renal recovery were 64.3% and 29.4%, respectively (chi-squared test, p = 0.014. Multivariate regression and decision tree analysis (recursive partitioning revealed HCO-HD (adjusted odds ratio [OR] 6.1 [95% confidence interval (CI 1.5-24.5], p = 0.011 and low initial uric acid values (adjusted OR 1.3 [95%CI 1.0-1.7], p = 0.045 as independent and paramount variables associated with a favorable renal outcome.In summary, the results from this retrospective case-control study suggest in addition to novel agent-based chemotherapy a benefit of HCO-HD in sFLC removal and renal outcome in dialysis-dependent AKI secondary to MM. This finding was especially pertinent in patients with low initial uric acid values, resulting in a promising renal recovery rate of 71.9%. Further prospective studies are warranted.

  13. Serum Cholesterol Level Nomograms for Iranian Population; Suggestion for National Cut-Offs

    Directory of Open Access Journals (Sweden)

    Mostafa Hosseini

    2013-02-01

    Full Text Available Background: High cholesterol levels are associated with increased risk of coronary heart disease and stroke. Understanding the distribution of serum cholesterol levels in each country is valuable index for use in public health planning. This study aimed to construct nomograms of total cholesterol (TC levels and establish the cut-points specific to Iranian population.Methods: Data on serum TC levels of 19,630 non-institutionalized individuals aged 25-64 years from third national survey on non-communicable diseases (SuRFNCD in 2007 were used to construct cholesterol nomograms. We proposed cutoff values for borderline and high TC levels based on rounded 75th and 90th percentiles in three age groups (25-34, 35-44 and 45-64 respectively.Results: Average yearly increase of TC for males up to the age of 45 and females up to 64 were 1.15 and 1.03 mg/dl, respectively. TC levels were higher in females. In males, cutoff values for "borderline and high" TC levels were 195 and 220 mg/dl in 25-34, 210 and 240 mg/d in 35-44 and 215 and 245 mg/dl in 45-64 years old individuals. In women, these values were 200 and 225 mg/dl in 25-34,215 and 240 mg/dl in 35-44 and 235 and 265 mg/dl in 45-64 years old individuals respectively.Conclusion: Since TC levels are different in two sexes and change with age, we proposed different cutoffs for sex and age group. We think these cutoffs could be used in national public health planning.

  14. Lower waist circumference in mildly-stunted adolescents is associated with elevated insulin concentration

    Directory of Open Access Journals (Sweden)

    Ana Paula Grotti Clemente

    2014-09-01

    Full Text Available Objective: Augmented waist circumference (WC is associated with non-communicable diseases and could represent a valuable marker in screening for metabolic dysfunctions in subjects with insufficient linear growth. The objective of the present study was to determine whether bio-chemical and hemodynamic parameters and waist circumference vary between mildly-stunted and non-stunted adolescents from impoverished communities of São Paulo, Brazil. Methods: The cross-sectional study involved 206 subjects, aged between 9 and 19 years and living in impoverished areas of São Paulo, Brazil. The sample population was divided according to height-for-age Z-score (HAZ into stunted (−1 > HAZ ≥ −2 and non-stunted (HAZ ≥ −1 groups, and was sub-divided according to gender. Logistic regression analysis was employed to compare individuals with elevated (> 75th percentile insulin concentrations. The receiver operating characteristic curves were constructed to determine WC cut-off points that could be used to identify stunted and non-stunted individuals with elevated insulin concentrations. Results: WC cut-off points of 58.25 cm and 67.2 cm allowed for correct classification of 90.7% of stunted and 88.7% of non-stunted individuals in the studied population. While the sensitivity of the model was high for stunted and non-stunted subjects (98.8% and 97.2%, respectively, the specificity was modest (57.1% and 41.2%, respectively. Conclusion: The results presented herein suggest that an increase in plasma insulin is one of the primary metabolic modifications in stunted individuals, and that this alteration could be identified at a lower WC cut-off point than in non-stunted counterparts.

  15. Reference intervals of complete blood count constituents are highly correlated to waist circumference: should obese patients have their own "normal values?".

    Science.gov (United States)

    Vuong, Jennifer; Qiu, Yuelin; La, Myanh; Clarke, Gwen; Swinkels, Dorine W; Cembrowski, George

    2014-07-01

    Body mass index (BMI), the prevalent indicator of obesity, is not easily grasped by patients nor physicians. Waist circumference (WC) is correlated to obesity, is better understood and has a stronger relationship to the metabolic syndrome. We compiled WC, complete blood count (CBC) parameters as well as other pertinent data of 6766 25-55-year-old US volunteers sampled in the US National Health and Nutrition Examination Survey, in the years 2005-2010. To determine reference intervals of typical US patients visiting their clinician, we used minimal exclusion criteria. We compiled hemoglobin, red blood cell count, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin concentration, mean cell hemoglobin (MCH), red cell distribution width (RDW), platelet count, mean platelet volume, and counts of white blood cells (WBC), neutrophils, lymphocytes, monocytes, eosinophils, and basophils. In addition, we also compiled serum C reactive protein and serum iron. The three major US races were studied and reference interval diagrams were constructed for each CBC parameter plotted against WC. WBC count, RDW, lymphocyte, neutrophil, and red blood cell count increase with WC. Conversely, serum iron and MCH and MCV decrease. These relationships may be related to insulin resistance and chronic activation of the immune system and the resulting low-grade inflammatory state. WC is a strong predictor for many CBC parameters, suggesting that WC should be taken into account when evaluating blood count results. Clinicians who take care of obese patients should be aware of altered hematology and investigate and treat accordingly.

  16. Cosmological properties and reconstruction of scalar field models of the Holographic Dark Energy model with Granda-Oliveros cut-off in Kaluza-Klein cosmology

    Science.gov (United States)

    Pasqua, Antonio; Chattopadhyay, Surajit; Assaf, Khudhair A.; Salako, Ines G.

    2016-06-01

    In this paper, we study the properties of the Holographic Dark Energy (HDE) model in the context of Kaluza-Klein (KK) cosmology with infrared cut-off given by the recently proposed by Granda-Oliveros cut-off, which contains a term proportional to the time derivative of the Hubble parameter and one proportional to the Hubble parameter squared. Moreover, this cut-off is characterized by two free parameters which are the proportional constants of the two terms of the cut-off. We derive the expression of the Equation of State (EoS) parameter ωD and of the deceleration parameter q for both non-interacting and interacting Dark Sectors and in the limiting case of a flat Dark Dominated Universe. Moreover, we study the squared speed of the sound vs2 and the statefinder diagnostic \\{r,s\\} in order to understand the cosmological properties of the model considered. We also develop a correspondence between the model considered and three scalar field models: the tachyon, the k-essence and the quintessence ones.

  17. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain

    NARCIS (Netherlands)

    Boonstra, Anne M.; Schiphorst Preuper, Henrica R. Schiphorst; Balk, Gerlof A.; Stewart, Roy E.

    2014-01-01

    The aim of this study was to find the cut-off points on the visual analogue scale (VAS) to distinguish among mild, moderate, and severe pain, in relation to the following: pain-related interference with functioning; verbal description of the VAS scores; and latent class analysis for patients with ch

  18. Enhanced Narrow-band, Coherent Emission from a Current Source Immersed in Cut-off of a Plasma-like Medium

    Science.gov (United States)

    Hur, Min Sup; Ersfeld, Bernhard; Noble, Adam; Suk, Hyyong; Jaroszynski, Dino

    2016-10-01

    In plasma-like media sharing a similar dispersion relation, there exists a cut-off frequency to make the wave number zero. This particular situation has been understood classically in a way that the radiation impedance becomes infinite, resulting in a total reflection of an incident wave. However, in this framework of understanding the cut-off, a pure current source immersed in the cut-off region leads to infinite radiation power from Ohm's law. This is obviously unphysical and requires a different approach to address the problem. In this presentation, we show that by solving the driven time-dependent Schrödinger equation, the radiation at the cut-off frequency can be selectively enhanced by several times the pure vacuum-emission. Important question here is whether such current sources are available in practical systems. We find that quasi-current sources are actually ubiquitous as long as the conversion efficiency from the current driver to the radiation emission is low. We demonstrate two such cases by PIC simulations; THz radiation from a plasma driven by colliding laser pulses, and THz from two-color lasers enclosed by a tapered waveguide. We also discuss the previous experimental results in terms of this enhanced emission concept.

  19. Using Logistic Regression for Validating or Invalidating Initial Statewide Cut-Off Scores on Basic Skills Placement Tests at the Community College Level

    Science.gov (United States)

    Secolsky, Charles; Krishnan, Sathasivam; Judd, Thomas P.

    2013-01-01

    The community colleges in the state of New Jersey went through a process of establishing statewide cut-off scores for English and mathematics placement tests. The colleges wanted to communicate to secondary schools a consistent preparation that would be necessary for enrolling in Freshman Composition and College Algebra at the community college…

  20. Lattice cut-off effects and their reduction in studies of QCD thermodynamics at non-zero temperature and chemical potential

    CERN Document Server

    Hegde, P; Laermann, E; Shcheredin, S

    2008-01-01

    We clarify the relation between the improvement of dispersion relations in the fermion sector of lattice regularized QCD and the improvement of bulk thermodynamic observables. We show that in the infinite temperature limit the cut-off dependence in dispersion relations can be eliminated up to O(a^n) corrections, if the quark propagator is chosen to be rotationally invariant up to this order. In bulk thermodynamic observables this eliminates cut-off effects up to the same order at vanishing as well as non-vanishing chemical potential. We furthermore show, that in the infinite temperature, ideal gas limit the dependence of finite cut-off corrections on the chemical potential is given by Bernoulli polynomials which are universal as they do not depend on a particular discretization scheme. We explicitly calculate leading and next-to-leading order cut-off corrections for some staggered and Wilson fermion type actions and compare these with exact evaluations of the free fermion partition functions. This also includ...

  1. A new three-component signal model to objectively select power Doppler wall filter cut-off velocity for quantitative microvascular imaging

    Science.gov (United States)

    Elfarnawany, Mai; Lacefield, James C.

    2013-03-01

    The wall-filter selection curve (WFSC) method was developed to automatically select cut-off velocities for high-frequency power Doppler imaging. Selection curves are constructed by plotting color pixel density (CPD) as a function of wall filter cut-off velocity. A new three-component mathematical model is developed to guide the design of an online implementation of the method for in vivo imaging. The model treats Doppler imaging as a signal detection task in which the scanner must distinguish intravascular pixels from perivascular and extravascular pixels and includes a cost function to identify the optimum cut-off velocity that provides accurate vascular quantification and minimizes the effect of color pixel artifacts on visualization of vascular structures. The goodness of fit of the three-component model to flow-phantom data is significantly improved compared to a previous two-component model (F test, p new model indicate that selection curves should be sampled using at least 100 cut-off velocities to ensure robust performance of the automated WFSC method and determine an upper bound on CPD variability that ensures reliable vascular quantification accuracy, defined as CPD within 5% of the reference vascular volume fraction. Results of the simulations also provide evidence that limiting the selection of the cut-off velocity to a binary choice between the middle and right end of the characteristic interval is sufficient to meet the quantification accuracy goal. The model provides an intuitive, empirical description of the relationship between system settings and blood-flow detection performance in power Doppler imaging.

  2. Endogenous gamma-hydroxybutyric acid (GHB) concentrations in post-mortem specimens and further recommendation for interpretative cut-offs.

    Science.gov (United States)

    Andresen-Streichert, Hilke; Jensen, P; Kietzerow, J; Schrot, M; Wilke, N; Vettorazzi, E; Mueller, A; Iwersen-Bergmann, S

    2015-01-01

    When interpreting gamma-hydroxybutyric acid (GHB) concentrations in post-mortem specimens, a possible increase in GHB concentrations because of post-mortem generation must be considered. In this study, endogenous GHB concentrations in post-mortem biological fluids were investigated. Additionally, we review post-mortem GHB concentrations already published in the literature. Heart and peripheral blood samples, cerebrospinal fluid, urine, and vitreous humor were collected from 64 autopsies in subjects where the cause of death excluded GHB exposure. Sample analysis was carried out either on the day of autopsy or later after immediate freezing and storage at -20 °C. GHB concentrations in venous blood samples (n = 61) were GHB concentrations in cases where there were signs of beginning putrefaction at the time of autopsy (n = 9) and cases without obvious signs of putrefaction. In one case with advanced putrefaction, the GHB concentration in venous blood was 32.7 mg/L. In conclusion, for post-mortem venous blood, urine, and cerebrospinal fluid, an interpretative cut-off of 30 mg/L for GHB concentrations is suggested in cases where GHB analysis is conducted on the day of sample collection at autopsy or if samples have been stored at -20 °C immediately after collection.

  3. Kinetic Isotope Effects from QM/MM Subset Hessians: "Cut-Off" Analysis for SN2 Methyl Transfer in Solution.

    Science.gov (United States)

    Williams, Ian H

    2012-02-14

    Isotopic partition-function ratios and kinetic isotope effects for reaction of S-adenosylmethionine with catecholate in water are evaluated using a subset of 324 atoms within its surrounding aqueous environment at the AM1/TIP3P level. Two alternative methods for treating motion in the six librational degrees of freedom of the subset atoms relative to their environment are compared. A series of successively smaller subset Hessians are generated by cumulative deletion of rows and columns from the initial 972 × 972 Hessian. We find that it is better to treat these librations as vibrations than as translations and rotations and that there is no need to invoke the Teller-Redlich product rule. The validity of "cut-off" procedures for computation of isotope effects with truncated atomic subsets is assessed: to ensure errors in ln(KIE) < 1% (or 2% for the quantum-corrected KIE) for all isotopic substitutions considered, it is necessary to use a less-restrictive procedure than is suggested by the familiar two-bond cutoff rule.

  4. Urinary hepcidin identifies a serum ferritin cut-off for iron supplementation in young athletes: a pilot study.

    Science.gov (United States)

    Borrione, P; Spaccamiglio, A; Rizzo, M; Termine, A; Chierto, E; Campostrini, N; Quaranta, F; Di Gianfrancesco, A; Pigozzi, F

    2011-01-01

    The use of iron supplements should be a judicious choice, primarily when considering the possible risks deriving from an unjustified treatment. In trained athletes, levels of ferritin between 15 and 30 microg/L are frequently observed. Within this ferritin range, the usefulness of iron supplementation is still controversial. The aim of the present study is to evaluate the clinical usefulness of hepcidin assessment in the analysis of the iron status of young non-anemic athletes. Fifty young athletes were enrolled. The subjects were divided into 4 groups according to their ferritin levels. No statistically significant difference was found regarding hepcidin levels between athletes with ferritin lower than 15 microg/L and those in the 15-30 microg/L range. Similarly, no difference was found between athletes with ferritin higher than 50 microg/L and those in the 30-50 microg/L range. On the contrary, statistically significant differences were found between athletes with ferritin levels ranging from 15 to 30 microg/L and those in the 30-50 microg/L range. The present study suggests that serum ferritin levels below 30 microg/L indicate an asymptomatic iron deficiency status inhibiting hepcidin expression and that 30 microg/L should be considered the ferritin cut-off when considering an iron supplementation in young athletes.

  5. Measuring chest circumference change during respiration with an electromagnetic biosensor.

    Science.gov (United States)

    Padasdao, Bryson; Shahhaidar, Ehsaneh; Boric-Lubecke, Olga

    2013-01-01

    In this paper, an off-the-shelf DC motor is modified into a chest belt and used to successfully measure circumference change on a mechanical chest model, while simultaneously harvesting significant power. Chest circumference change can provide information on tidal volume, which is vital in assessing lung function. The chest circumference change is calculated from the motor's voltage output. Calculated values are within 0.95mm of measured circumference changes, with a standard deviation of 0.37mm. The wearable motor can also harvest at least 29.4µW during normal breathing.

  6. Cut off from supplies - sulfate exhaustion and implications for methane emissions in a brackish rewetted peatland after separation from the coast

    Science.gov (United States)

    Koebsch, Franziska; Liu, Bo; Schmiedinger, Iris; Spitzy, Alejandro; Köhler, Stefan; Koch, Marian; Jurasinski, Gerald; Gehre, Matthias; Sachs, Torsten; Böttcher, Michael

    2016-04-01

    Coastal ecosystems are at the interface between marine and freshwater and exhibit a special geochemistry. We investigate the S and C geochemistry of a coastal, degraded fen peatland. The site has been cut off from the Baltic Sea since 1995 and was rewetted with freshwater from the surrounding catchment in 2010. Despite of locally high pore water sulfate (SO42-) concentrations, the fen turned into a strong source for methane (CH4) with annual budgets up to 0.26±0.06 kg m-2 (Hahn et al. 2015). To reconcile this apparent contradiction we use concentration patterns and stable isotope signatures of water, SO42-, pyrite, dissolved carbon, and CH4 (δ2H, δ13C, δ18O, δ34S) along a transect with increasing distance to the Baltic coastline (300-1500 m). The current peatland geochemistry is characterized by a combination of relict signals reflecting former brackish water intrusion events and indicators of recent human activities such as internal eutrophication and increasing freshwater contribution. The shallow peat layer (depth mostly ≤ 55 cm) exhibited a pronounced vertical gradient with a freshwater-front lying on top of the brackish water layer. S geochemistry was decoupled from present brackish water distribution as marine SO42- was almost completely biotically reduced and converted to pyrite. The remaining pore water SO42- pool was remarkably 34S-enriched in relation to Baltic Sea SO42- (up to +86.4 and +21‰, respectively) and also δ34S-values of pyrite were comparatively high (+4.8‰), thereby demonstrating a distinct reservoir effect under closed-system conditions. However, one of the profiles situated 1150 m from the Baltic Sea coast line exhibited a contrasting S pattern with pronounced excess of isotopically lighter SO42- at depth (up to 32.8 mM and +22.7‰). We hypothesize, that local groundwater seeps might provide electron acceptors such as NO3- for the contemporary oxidation of pyrite. δ13C in DIC exhibited a pronounced vertical shift from -23.9

  7. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2-18 years%中国2~18岁儿童青少年超重和肥胖筛查体重指数界值点的研究

    Institute of Scientific and Technical Information of China (English)

    李辉; 宗心南; 季成叶; 米杰

    2010-01-01

    Objective To study the body cut-offs of mass index (BMI) for the purpose of screening overweight and obesity for Chinese children and adolescents aged 2-18 years. Methods Based on the BMI growth reference values for Chinese children aged 0-18, using the common methods to establish the BMI cut-offs for screening overweight and obesity. These methods were having the same empirical percentile or Z scores and the BMI value at 18 years consistent with adults.Three sets of BMI cut-offs, including (BMI24, BMI28) , (P85, P95) and (Z1, Z2) , were initially identified. Differences were compared on different cut-off points and prevalence rates of overweight and obesity with different BMI reference, different values and "prevalence" of overweight and obesity based on "2004 Beijing Child and Adolescent Metabolic Syndrome Study ". Cut-offs standards which recommended by the Chinese Working Group on Obesity for Children (WGOC) and by the International Obesity Task Force (IOTF) were also used. Finally the appropriate cut-offs were defined. Results Three sets of BMI cut-offs for screening overweight and obesity for Chinese children and adolescents aged 2-18 years were obtained according to the above mentioned methods for selection. The prevalence rates of overweight and obesity defined by those cut-offs appeared not to be significantly different. Compared with the WGOC, the BMI cut-off points for screening overweight and obesity for both boys and girls from our study were very close to the WGOC', but cut-off points for screening overweight for girls aged 8.5-15.5 y was 0.3-1.0 kg/m2 lower than the WGOC'. Going through the database on screening of "2004 Beijing Children's Metabolic Syndrome Survey ", the prevalence of overweight for girls was about 3.4% higher than using the cut-offs of WGOC. Conclusion Results from this study suggested that the BMI cut-offs passed through the cut-off point of BMI24 and BMI28 at 18 years was appropriate for screening overweight and obesity in

  8. Acurácia da circunferência da cintura e da relação cintura/quadril como preditores de dislipidemias em estudo transversal de doadores de sangue de Cuiabá, Mato Grosso, Brasil Accuracy of waist circumference and waist-to-hip ratio as predictors of dyslipidemia in a cross-sectional study among blood donors in Cuiabá, Mato Grosso State, Brazil

    Directory of Open Access Journals (Sweden)

    Márcia Gonçalves Ferreira

    2006-02-01

    area under the ROC curve between waist circumference and high cholesterol/HDL relation included the 0.50 value, so waist circumference could not be considered a predictor of dyslipidemia. The best sensitivity and specificity were in the youngest group. Waist-to-hip ratio was a better predictor of dyslipidemia than waist circumference, although the latter showed better discriminating power to detect hypertriglyceridemia. The most accurate cut-off points were lower those set by the World Health Organization.

  9. Medium Cut-Off (MCO) Membranes Reduce Inflammation in Chronic Dialysis Patients—A Randomized Controlled Clinical Trial

    Science.gov (United States)

    Zickler, Daniel; Schindler, Ralf; Willy, Kevin; Martus, Peter; Pawlak, Michael; Storr, Markus; Hulko, Michael; Boehler, Torsten; Glomb, Marcus A.; Liehr, Kristin; Henning, Christian; Templin, Markus; Trojanowicz, Bogusz; Ulrich, Christof; Werner, Kristin; Fiedler, Roman; Girndt, Matthias

    2017-01-01

    Background To increase the removal of middle-sized uremic toxins a new membrane with enhanced permeability and selectivity, called Medium Cut-Off membrane (MCO-Ci) has been developed that at the same time ensures the retention of albumin. Because many middle-sized substances may contribute to micro-inflammation we hypothesized that the use of MCO-Ci influences the inflammatory state in hemodialysis patients. Methods The randomized crossover trial in 48 patients compared MCO-Ci dialysis to High-flux dialysis of 4 weeks duration each plus 8 weeks extension phase. Primary endpoint was the gene expression of TNF-α and IL-6 in peripheral blood mononuclear cells (PBMCs), secondary endpoints were plasma levels of specified inflammatory mediators and cytokines. Results After four weeks of MCO-Ci the expression of TNF-α mRNA (Relative quantification (RQ) from 0.92 ± 0.34 to 0.75 ± 0.31, -18.5%, pkappa and lambda free light chains, urea and an increase for Lp-PLA2 (PLA2G7) compared to High-flux. Albumin levels dropped significantly after 4 weeks of MCO dialysis but increased after additional 8 weeks of MCO dialysis. Twelve weeks treatment with MCO-Ci was well tolerated regarding the number of (S)AEs. In the extension period levels of CRP, TNF-α-mRNA and IL-6 mRNA remained stable in High-flux as well as in MCO-Ci. Conclusions MCO-Ci dialyzers modulate inflammation in chronic HD patients to a greater extent compared to High-flux dialyzers. Transcription of pro-inflammatory cytokines in peripheral leukocytes is markedly reduced and removal of soluble mediators is enhanced with MCO dialysis. Serum albumin concentrations stabilize after an initial drop. These results encourage further trials with longer treatment periods and clinical endpoints. PMID:28085888

  10. Combined Effect of an Atmospheric River and a Cut-off Low in Hiroshima Flooding Event on August 19, 2014

    Science.gov (United States)

    Takayabu, Y. N.; Hirota, N.; Kato, M.; Arakane, S.

    2015-12-01

    An extraordinary precipitation over 100 mmhr-1in Hiroshima on August 19, 2014, caused a flash flood which resulted in 74 fatalities and collapse of 330 houses. In order to examine the meteorological background of this flooding event, we carried out a detailed analysis utilizing rain gauge data, satellite precipitation dataset, and a meso scale and a global scale objective analyses provided from the Japan Meteorological Agency. Then, we performed numerical experiments using a nonhydrostatic compressible equation model called the Cloud-Resolving Storm Simulator (CReSS). As a result, a combined effect of an atmospheric river (AR) and a cut-off low (COL) in this flooding event was elucidated. During the event, a filamentary transport of moisture extending from the Indochina Peninsula to the Japanese Islands was observed along the southern side of the subtropical jet, forming an AR. This AR had a deep structure with an amount of free tropospheric moisture comparable to that of the boundary layer. Concurrently, there was a COL, detached from the Mid-Pacific Trough, moving northwestward toward the Japanese Archipelago. With various sensitivity experiments, we concluded that a mid-tropospheric instability associated with the cold core of the COL and a dynamical ascent induced in its foreside, collaboratively worked with the anomalous moisture in the free troposphere associated with the AR, to extraordinarily enhance the precipitation over Hiroshima region. An orographic effect to concentrate the precipitation in this region was also confirmed. An implication on a difference in effects of AR in this event with a climatologically moist boundary layer, from those in the US west coast with a very dry environment, was also obtained. Acknowledgment: This study is supported by the Environment Research and Technology Development Fund (2-1503) of the Ministry of the Environment, Japan, and by the Ministry of Education, Culture, Sports, Science and Technology, Japan.

  11. Criteria to interpret cancer biomarker increments crossing the recommended cut-off compared in a simulation model focusing on false positive signals and tumour detection time

    DEFF Research Database (Denmark)

    Lund, Flemming; Hyltoft Petersen, Per; Pedersen, Merete Frejstrup;

    2014-01-01

    BACKGROUND: Several criteria have been proposed to interpret increments in serological cancer biomarker concentrations starting from low baseline concentrations crossing the cut-off. None of the criteria have been compared for their ability to signal tumour growth when ≤2% false positive results...... are accepted. METHODS: The cancer biomarker Tissue Polypeptide Antigen was used as an example. Seven criteria to interpret increments in concentrations were investigated by computer simulations. Firstly, for each criterion, we identified a baseline concentration stratified for three levels of biological...... that different types of criteria should be used within different intervals of below cut-off level concentrations if the rate of false positive signals of marker increments should be kept ≤2%....

  12. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain.

    Science.gov (United States)

    Boonstra, Anne M; Schiphorst Preuper, Henrica R; Balk, Gerlof A; Stewart, Roy E

    2014-12-01

    The aim of this study was to find the cut-off points on the visual analogue scale (VAS) to distinguish among mild, moderate, and severe pain, in relation to the following: pain-related interference with functioning; verbal description of the VAS scores; and latent class analysis for patients with chronic musculoskeletal pain. A total of 456 patients were included. Pain was assessed using the VAS and verbal rating scale; functioning was assessed using the domains of the Short Form (36) Health Survey (SF-36). Eight cut-off point schemes were tested using multivariate analysis of variance (MANOVA), ordinal logistic regression, and latent class analysis. The study results showed that VAS scores ⩽ 3.4 corresponded to mild interference with functioning, whereas 3.5 to 6.4 implied moderate interference, and ⩾ 6.5 implied severe interference. VAS scores ⩽ 3.4 were best described for patients with chronic musculoskeletal pain as mild pain, 3.5 to 7.4 as moderate pain, and ⩾ 7.5 as severe pain. Latent class analysis found that a 3-class solution fitted best, resulting in the classes 0.1 to 3.8, 3.9 to 5.7, and 5.8 to 10 cm. Findings from our study agree with those of some other studies, although many other studies found different optimal cut-off point schemes. As there appear to be no universally accepted cut-off points, and in view of the low-to-moderate associations between VAS scores and functioning and between VAS and verbal rating scale scores, the correct classification of VAS scores as mild, moderate. or severe in clinical practice seems doubtful.

  13. Advances in the clinical application of high cut-off hemodialysis%高截留量血液透析临床应用进展

    Institute of Scientific and Technical Information of China (English)

    邬步云

    2012-01-01

    高截留量膜最初用于清除严重脓毒症的炎症介质,近年来被用于治疗骨髓瘤管型肾病、横纹肌溶解等疾病,并有望用于终末期肾病患者大分子毒素的清除.本文就高截留量膜的定义、理论基础、高截留量血液透析相关技术及临床应用进展作一简述.%Initially designed to remove the inflamamatory mediators in the patients with severe sepsis,high cut-off membranes have being applicated in the treatment of myeloma kidney and rhabdomyolysis. Furthermore, high cut-off membranes have a potential for the removal of uremic toxins with large molecules in the patients with .end-stage renal disease. This review is to summarize the definition, rational, techniques and advancement in the clinical application of high cut-off membranes.

  14. Improving Screening Cut-Off Scores for DSM-5 Adolescent Anxiety Disorder Symptom Dimensions with the Screen for Child Anxiety Related Emotional Disorders

    Directory of Open Access Journals (Sweden)

    William W. Hale III

    2014-01-01

    Full Text Available Presently most adolescent anxiety disorder screening instruments make their determination of running a high risk for an anxiety disorder on the basis of a cut-off score measured by a single screening which can lead to false positives. Therefore, the goal of this study is to examine whether a repeated administration of the SCARED screening instrument for DSM-5 anxiety disorder symptoms could help in the detection of true positives while also avoiding false positives. Participants were 923 early adolescents from the general community. The adolescents’ ages at the first annual screening ranged from 10 to 15 with an average of 12.5 years. In a prospective five-year longitudinal design, the adolescents completed the SCARED screening instrument for anxiety disorder symptoms on a yearly basis. To detect true positives and avoid false positives, the data were analyzed with Receiver Operating Characteristics (ROC cut-off score analyses. ROC cut-off score analyses revealed that the sensitivity and specificity of high risk were greatly improved for repeated screenings above those of a single screening. The findings of this study demonstrate that a screening instrument (such as the SCARED should be administered not just once but several times in order to better determine true positives and avoid false positives.

  15. Prevalence of body mass index and body weight cut-off points for in vitro fertilization treatment at U.S. clinics and current clinic weight loss strategy recommendations.

    Science.gov (United States)

    Turner-McGrievy, Gabrielle M; Grant, Breănna L

    2015-09-01

    The goal of this study was to determine how many clinics providing in vitro fertilization (IVF) in the United States require a body mass index (BMI) or body weight cut-off point to determine treatment eligibility. US clinics listed as members on the Society of Assisted Reproduction website in late 2013 were contacted by phone between January and March 2014. Clinic personnel were asked if a BMI or body weight cut-off points was used to determine IVF treatment eligibility and what strategies they recommended for their patients to achieve a healthy body weight. Of the 379 clinics contacted, 347 responded (92% response rate) and 35% (n = 120) reported using a BMI or body weight cut-off points to determine eligibility for IVF treatment. Mean BMI (± SD) cut-off points was 38.4 ± 5.2 kg/m(2) and mean body weight (± SD) cut-off points was 130.2 ± 14.8 kg. Of the clinics using a set cut-off points, half (46%) provided no weight loss recommendations for patients. A sizable portion of US IVF clinics report a required or preferred BMI or body weight cut-off points for treatment. Despite this, most clinics did not provide a recommended program or approach for weight loss with very few clinics reporting an in-house program.

  16. Determining a Cut-Off Point for Scores of the Breastfeeding Self-Efficacy Scale-Short Form: Secondary Data Analysis of an Intervention Study in Japan.

    Directory of Open Access Journals (Sweden)

    Keiko Nanishi

    Full Text Available Breastfeeding self-efficacy can be measured with the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF. Mothers with low BSES-SF scores stop exclusive breastfeeding prematurely, but specific interventions can prevent that undesirable outcome. Because those interventions can be expensive, often one must decide which mothers will receive them. For that purpose, a cut-off BSES-SF score would be useful, but none is available. Therefore, we aimed to assess the overall accuracy of BSES-SF scores as predictors of not practicing post-discharge exclusive breastfeeding, and to choose an appropriate cut-off score for making that prediction.This is a secondary data analysis of an intervention study. Data from 378 women in two non-Baby-Friendly Hospitals were analyzed. Participants were women in their third trimester who were 16 years of age or older, were able to read and write Japanese, were expected to have a singleton birth, and had completed the BSES-SF before discharge. BSES-SF scores were measured before discharge. Breastfeeding status was assessed 4 weeks and 12 weeks postpartum. Receiver Operating Characteristic (ROC curves were used to assess the predictive ability of the BSES-SF and to inform the choice of a cut-off point.For both of the ROC curves (4 and 12 weeks postpartum the area under the curve was 0.74. To obtain a high sensitivity, a cut-off score of 50 was chosen. With that cut-off score the sensitivity was 79% and the specificity was 52% 4 weeks postpartum, and they were 77% and 52%, respectively, 12 weeks postpartum.In conclusion, the BSES-SF has moderate overall accuracy to distinguish women who will not practice exclusive breastfeeding after discharge from those who will. At non-Baby-Friendly hospitals in Japan, interventions to support exclusive breastfeeding might be considered for new mothers who have BSES-SF scores that are less than or equal to 50.

  17. Pontos de corte para a aptidão cardiorrespiratória e a triagem de fatores de risco para doenças cardiovasculares na infância Cardiorespiratory fitness cut offs points and cardiovascular risk factors screening at infancy

    Directory of Open Access Journals (Sweden)

    Gabriel Gustavo Bergmann

    2010-10-01

    Full Text Available O principal objetivo deste estudo foi analisar a validade e propor novos pontos de corte para aptidão cardiorrespiratória de escolares de sete a 12 anos de idade. A amostra foi constituída por 1.413 escolares. A aptidão cardiorrespiratória foi medida através do teste de corrida/caminhada de nove minutos. O colesterol total e as pressões arterial sistólica e diastólica foram medidas e através delas foram criadas referências de fatores de risco para doenças cardiovasculares. Através da curva receiver operating characteristic entre a aptidão cardiorrespiratória e as referências de fatores de risco para doenças cardiovasculares foram identificados os valores dos pontos de corte. Adicionalmente foi utilizada a análise bivariada seguida do cálculo de razão de chances (odds ratio-OR para identificar quanto os indivíduos que não atenderam os pontos de corte propostos tinham a mais de chance de apresentar fatores de risco para doenças cardiovasculares. Os resultados indicaram que, dentre as propostas analisadas, a que foi sugerida neste estudo apresentou melhores ajustamentos entre sensibilidade e especificidade. Os resultados da análise bivariada mostraram que indivíduos que não atenderam os pontos de corte propostos têm maiores chances de apresentarem fatores de risco para doenças cardiovasculares.The main objective of the study was to analyze and propose news cardiorespiratory fitness cut offs points for 7 to 12-year old school students. The sample was composed of 1,413 students. Cardiorespiratory fitness was measured by the 9-minutes walking/running test. Total cholesterol and systolic and diastolic blood pressure were measured and with their results cardiovascular risk factors reference were designed. The Receiver Operating Characteristic curve between cardiorespiratory fitness and cardiovascular risk factors reference identified the cut offs point values. The bivariate analysis and odds ratio (OR calculation was used to

  18. Optimal cut-off point of waist-to-height ratio for predicting metabolic syndrome%腰围身高比预测代谢综合征的切点研究

    Institute of Scientific and Technical Information of China (English)

    蒋建家; 张雅萍; 林振忠; 牟伦盼; 孙炳庆; 苏劲波

    2015-01-01

    Objective To investigate the relationship between waist-to-height ratio and metabolic syndrome,in order to identify the optimal cut-off point of waist-to-height ratio for predicting metabolic syndrome.Methods In this cross-sectional study,we recruited 343 people who received physical examination in First Hospital of Quanzhou between January 2012 and June 2014,and collected the information of their waist circumference,height,weight,blood pressure,laboratory test results (including fasting blood glucose,2-hour glucose after oral glucose tolerance test,triglyceride,high-density lipoprotein cholesterol) and visceral fat area assessed by computed tomography.Then a receiver operating characteristic (ROC) curve analysis was used to estimate the optimal cut-off points of waist-to-height ratio for the prediction of metabolic syndrome.Results Among the 343 people,there were 195 metabolic syndrome patients,the prevalence rate was 56.8%,which was 70.2% in men (127/181) and 42.0% in women (68/162).In ROC curve analysis,the area under the curve of waist-to-height ratio for the prediction of metabolic syndrome was 0.664 for men,and 0.673 for women.The optimal cut-off point of waist-to-height ratio for predicting metabolic syndrome was 0.543 0 (sensitivity 88.2%,specificity 44.4%) for men,and 0.568 3 (sensitivity 86.8%,specificity 46.8%).Conclusion The optimal cut-off point of waist-to-height ratio for predicting metabolic syndrome in Quanzhou population is 0.543 0 for men and 0.568 3 for women.%目的 研究腰围身高比与代谢综合征的关系,寻找腰围身高比预测代谢综合征的最佳切点.方法 采用横断面调查方法,纳入2012年1月至2014年6月在福建医科大学附属泉州第一医院进行体检的343名人员,体检项目包括腰围、身高、体质量、血压、实验室检查(包括空腹血糖、口服葡萄糖耐量试验2h血糖、三酰甘油、高密度脂蛋白胆固醇)、CT测定腹腔内脂肪面积.通过受试者工

  19. Bovine Tuberculosis in Cattle in the Highlands of Cameroon: Seroprevalence Estimates and Rates of Tuberculin Skin Test Reactors at Modified Cut-Offs

    Directory of Open Access Journals (Sweden)

    J. Awah-Ndukum

    2012-01-01

    Full Text Available The aim of this study was to obtain epidemiological estimates of bovine tuberculosis (TB prevalence in cattle in the highlands of Cameroon using two population-based tuberculin skin test (TST surveys in the years 2009 and 2010. However, prior to the TST survey in 2010, blood was collected from already chosen cattle for serological assay. Anti-bovine TB antibodies was detected in 37.17% of tested animals and bovine TB prevalence estimates were 3.59%–7.48%, 8.92%–13.25%, 11.77%–17.26% and 13.14%–18.35% for comparative TST at ≥4 mm, ≥3 mm and ≥2 mm cut-off points and single TST, respectively. The agreement between TST and lateral flow was generally higher in TST positive than in TST negative subjects. The K coefficients were 0.119, 0.234, 0.251 and 0.254 for comparative TST at ≥4 mm, ≥3 mm and ≥2 mm cut-off points and the single TST groups, respectively. Chi square statistics revealed that strong (P48 associations existed between seroprevalence rates and TST reactors. The study suggested that using lateral flow assay and TST at severe interpretations could improve the perception of bovine TB in Cameroon. The importance of defining TST at modified cut-offs and disease status by post-mortem detection and mycobacterial culture of TB lesions in local environments cannot be overemphasised.

  20. One strategy to enhance electrochemical properties of Ni-based cathode materials under high cut-off voltage for Li-ion batteries

    Science.gov (United States)

    Liang, Longwei; Jiang, Feng; Cao, Yanbing; Hu, Guorong; Du, Ke; Peng, Zhongdong

    2016-10-01

    Well-distributed, nano-sized and amorphous or crystalized NaTi2(PO4)3 (NTP) coating layer with high ionic conductivity is successfully introduced onto the surface of LiNi0.6Co0.2Mn0.2O2 (LNCM) particles by a simple and effective mechanical activation method followed by adjusting the reheating temperature appropriately. The promoting influence of NTP coating on the structure stability, cycle life and high rate capability under elevated cut-off voltage has been investigated in-depth. Particularly for the crystalized NTP-coated LNCM, the main reason for the enhanced electrochemical performance can be attributed to the NTP layer with rhombohedral structure providing convenient and low activation barrier diffusion pathways for Li+ ions to insert/extract the interface of electrode/electrolyte. Besides, the NTP-coated layer with stable structure can effectively inhibit the surface side reaction during the long charge/discharge process under high cut-off voltage, which will reduce the harmful insulative by-products. It's worth mentioning that the cyclic stability of crystalized NTP-coated LNCM between 3.0 and 4.6 V is also improved significantly even under the rigorous test environment.

  1. Rocking at 81 and Rolling at 34: ROC Cut-Off Scores for the Negative Acts Questionnaire–Revised in Serbia

    Science.gov (United States)

    Petrović, Ivana B.; Vukelić, Milica; Čizmić, Svetlana

    2017-01-01

    Researchers are still searching for the ways to identify different categories of employees according to their exposure to negative acts and psychological experience of workplace bullying. We followed Notelaers and Einarsen’s application of the ROC analysis to determine the NAQ-R cut-off scores applying a “lower” and “higher” threshold. The main goal of this research was to develop and test different gold standards of personal and organizational relevance in determining the NAQ-R cut-off scores in a specific cultural and economic context of Serbia. Apart from combining self-labeling as a victim with self-perceived health, the objectives were to test the gold standards developed as a combination of self-labeling with life satisfaction, self-labeling with intention to leave and a complex gold standard based on self-labeling, self-perceived health, life satisfaction and intention to leave taken together. The ROC analysis on Serbian workforce data supports applying of different gold standards. For identifying employees in a preliminary stage of bullying, the most applicable was the gold standard based on self-labeling and intention to leave (score 34 and higher). The most accurate identification of victims could be based on the most complex gold standard (score 81 and higher). This research encourages further investigation of gold standards in different cultures. PMID:28119652

  2. Power-law and Logarithmic Entropy Corrected Holographic Dark Energy Models in Brans-Dicke Cosmology with Granda-Oliveros Cut-Off

    CERN Document Server

    Pasqua, Antonio; Myrzakulov, Ratbay

    2015-01-01

    In this paper, the cosmological implications of the Power Law Entropy Corrected Holographic Dark Energy (PLECHDE) and the Logarithmic Entropy Corrected Holographic Dark Energy (LECHDE) models in the context of Brans-Dicke (BD) cosmology for both non-interacting and interacting DE and Dark Matter (DM) are studied. As the system infrared cut-off, we choose the recently proposed Granda-Oliveros cut-off, which contains a term proportional to the first time derivative of the Hubble parameter and one term proportional to $H^2$, i.e. the Hubble parameter squared. We obtain the expressions of three quantities, i.e. the Equation of State (EoS) parameter $\\omega_D$, the deceleration parameter $q$ and the evolutionary form of the energy density parameter $\\Omega'_D$ of the PLECHDE and LECHDE models in a non-flat Universe for non-interacting and interacting DE and DM as well. Moreover, we investigate the limiting cases corresponding to: a) absence of entropy corrections; b) Einstein's gravity; and c) concomitantly absenc...

  3. Neck circumference as a potential marker of metabolic syndrome among college students1

    Science.gov (United States)

    Pereira, Dayse Christina Rodrigues; de Araújo, Márcio Flávio Moura; de Freitas, Roberto Wagner Júnior Freire; Teixeira, Carla Regina de Souza; Zanetti, Maria Lúcia; Damasceno, Marta Maria Coelho

    2014-01-01

    OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students. METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C. RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006). As neck circumference decreases, pressure levels improve (p<0.001). Additionally, college students with high fasting blood sugar (p=0.003) and high triglyceride levels (p<0.001) presented higher values of neck circumference. CONCLUSION: neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students. PMID:25591092

  4. Neck circumference as a potential marker of metabolic syndrome among college students

    Directory of Open Access Journals (Sweden)

    Dayse Christina Rodrigues Pereira

    2014-12-01

    Full Text Available OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students.METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C.RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006. As neck circumference decreases, pressure levels improve (p<0.001. Additionally, college students with high fasting blood sugar (p=0.003 and high triglyceride levels (p<0.001 presented higher values of neck circumference.CONCLUSION: neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students.

  5. Importância relativa do Índice de Massa Corporal e da circunferência abdominal na predição da hipertensão arterial Relative importance of body mass index and waist circumference for hypertension in adults

    Directory of Open Access Journals (Sweden)

    Flávio Sarno

    2007-10-01

    importance of Body Mass Index (BMI and waist circumference for the determination of hypertension in adults. METHODS: Cross sectional analysis of a sample of employees (N=1,584, aged 18 to 64 years, from a private general hospital in the city of São Paulo, Brazil. Data collection included the application of a structured questionnaire and blood pressure, weight, high, and waist circumference measurements. Hypertension was defined as blood pressure levels > 140/90 mmHg or reported use of anti-hypertensive medication. The relative importance of BMI and waist circumference was evaluated by calculating the attributable fraction of hypertension corresponding to each anthropometric indicator, employing both the usual cut-off points as well as cut-off points based on the observed distribution of the indicator in the population. In addition, an indicator combining simultaneously BMI and abdominal circumference values was also developed. RESULTS: Prevalence of hypertension was 18.9% (26.9% in men and 12.5% in women. In men, the fraction of hypertension attributable to BMI exceeded the fraction attributable to waist circumference based on the usual cut-off points for the indicators (56% vs. 48%, respectively and also considering the quartiles of the observed distribution for these indicators (73% vs. 69%, respectively. In women, the fraction of hypertension attributable to waist circumference was slightly higher than the fraction attributable to BMI based on the usual cut off points for both indicators (44% vs. 41%, but the reverse was true when quartiles of the observed distribution were used (41% vs. 57%, respectively. In women only, the fraction of hypertension attributable to the indicator combining BMI and waist circumference (64% was higher that observed using each indicator alone. CONCLUSIONS: Both BMI and abdominal circumference were positively and independently associated with the occurrence of arterial hypertension, the influence of BMI being higher among men.

  6. Neck Circumference and Cardio- Metabolic Syndrome

    OpenAIRE

    Kumar, Nagendran Vijaya; Ismail, Mohammed H.; P, Mahesha; M, Girish; Tripathy, Monica

    2014-01-01

    Background: Only few studies about neck circumference (NC) as a measure of cardio metabolic syndrome available from India. Study was conducted to establish an association between neck circumference and cardio metabolic syndrome.

  7. Obesity Index That Better Predict Metabolic Syndrome: Body Mass Index, Waist Circumference, Waist Hip Ratio, or Waist Height Ratio

    Directory of Open Access Journals (Sweden)

    Abdulbari Bener

    2013-01-01

    Full Text Available Aim. The aim was to compare body mass index (BMI, waist circumference (WC, waist hip ratio (WHR, and waist height ratio (WHtR to identify the best predictor of metabolic syndrome (MetS among Qatari adult population. Methods. A cross-sectional survey from April 2011 to December 2012. Data was collected from 1552 participants followed by blood sampling. MetS was defined according to Third Adult Treatment Panel (ATPIII and International Diabetes Federation (IDF. Receiver operating characteristics (ROC curve analysis was performed. Results. Among men, WC followed by WHR and WHtR yielded the highest area under the curve (AUC (0.78; 95% CI 0.74–0.82 and 0.75; 95% CI 0.71–0.79, resp.. Among women, WC followed by WHtR yielded the highest AUC (0.81; 95% CI 0.78–0.85 & 0.79; 95% CI 0.76–0.83, resp.. Among men, WC at a cut-off 99.5 cm resulted in the highest Youden index with sensitivity 81.6% and 63.9% specificity. Among women, WC at a cut-off 91 cm resulted in the highest Youden index with the corresponding sensitivity and specificity of 86.5% and 64.7%, respectively. BMI had the lowest sensitivity and specificity in both genders. Conclusion. WC at cut-off 99.5 cm in men and 91 cm in women was the best predictor of MetS in Qatar.

  8. InGaAs Photodetectors Cut-off at 1.9μm Grown by Gas-Source Molecular Beam Epitaxy

    Institute of Scientific and Technical Information of China (English)

    ZHANG Yong-Gang; HAO Guo-Qiang; GU Yi; ZHU Cheng; LI Ai-Zhen; LIU Tian-Dong

    2005-01-01

    @@ Using a linear graded Inx Ga1- x As as the buffer layer, positive-intrinsic-negative wavelength-extended In0.6Ga0.4As photodetectors with 50% cut-off wavelength of 1.9μm at room temperature were grown by using gas-source molecular beam epitaxy, and their performance over a wide temperature range has been extensively investigated. The detectors show typical dark current at bias voltage 50mV and the resistance-area product RO A of 7nA/765Ωcm2 and 31pA/404kΩcm2 at 290K and 210K, respectively. The thermal activation energy of the dark current in the temperature range 250-350 K is 0.488 eV.

  9. Residual magnetic field profiles and their current density profiles of coated conductors for fast and slow cut-off current operations

    Energy Technology Data Exchange (ETDEWEB)

    Sun, J.; Taillouli, M.; Hamabe, M.; Watanabe, H.; Chikumoto, N.; Yamaguchi, S. [Chubu University, Kasugai, Aichi (Japan); Shyshkin, O. [V. N. Karazin Kharkiv National University, Kharkov (Ukraine)

    2015-03-15

    Coated conductor is an important candidate for power cable applications due to its high current density. Even for DC power cable transmission, we must study the transport properties of HTS tapes after slow and fast discharge. In order to evaluate relation of the magnetic field with applied current we developed a scanning magnetic field measurements system by employing a Hall probe. This work presents the measurements of the magnetic fields above a coated conductor by varying applied current pattern. In the work, a transport current of 100 A, less than the critical current, is applied to YBCO coated conductor. We measured the residual magnetic field distributions after cut off the transport current with slow and fast operations. The results show differences of the magnetic field profiles and the corresponding current profiles by an inverse solution from the magnetic field measurement between these two operations because of the hysteresis of coated conductor excited by the transport current.

  10. EARLY APPLICATION OF HIGH CUT-OFF HAEMODYALISIS FOR DE-NOVO MYELOMA NEPHROPATHY IS ASSOCIATED WITH LONG-TERM DIALYSIS-INDEPENDENCY AND RENAL RECOVERY

    Directory of Open Access Journals (Sweden)

    Alhossain A. Khalafallah

    2013-01-01

    Full Text Available Background Multiple myeloma (MM is a haematological malignancy associated with kidney injury resulting from cast nephropathy, which can be caused by monoclonal free light chains (FLC. It has been demonstrated that reduction of FLC can lead to a higher proportion of patients recovering renal function with a better outcome, especially if extended high cut-off haemodialysis (HCO-HD combined with chemotherapy is used. Patients and Methods In this study, four cases of MM nephropathy were treated with HCO-HD and chemotherapy at a single institution during the period from August 2009 to August 2011. All of the patients presented with acute renal failure and high serum FLC. All patients underwent a bone marrow biopsy to confirm the diagnosis of MM, according to the WHO criteria. Three patients had de-novo MM and one patient had relapsed light chain myeloma disease. All patients underwent HCO-HD concomitantly with specific myeloma therapy once the diagnosis or relapse of MM was established. Results After a median follow up of 26 months, (range, 13-36 our data showed that all patients had a significant decrease in serum FLC through HCO-HD, proving the effectiveness of HCO-HD in managing MM. De-novo MM patients restored their renal function and achieved low-level FLC early on the treatment and become dialysis-independent. One patient with relapsed myeloma remained dialysis dependant. Conclusion Our study suggests that if myeloma nephropathy associated with light-chain disease, HCO-HD should be initiated as early as possible. At the same time a specific MM treatment should be initiated to gain control of the disease and salvage the kidneys in order to achieve dialysis-independency. Further trials to confirm our results are warranted. Key Words: Multiple myeloma, renal failure, High cut-off haemodialysis, chemotherapy, outcome.

  11. Relationships between Head Circumference, Brain Volume and Cognition in Children with Prenatal Alcohol Exposure.

    Directory of Open Access Journals (Sweden)

    Sarah Treit

    Full Text Available Head circumference is used together with other measures as a proxy for central nervous system damage in the diagnosis of fetal alcohol spectrum disorders, yet the relationship between head circumference and brain volume has not been investigated in this population. The objective of this study is to characterize the relationship between head circumference, brain volume and cognitive performance in a large sample of children with prenatal alcohol exposure (n = 144 and healthy controls (n = 145, aged 5-19 years. All participants underwent magnetic resonance imaging to yield brain volumes and head circumference, normalized to control for age and sex. Mean head circumference, brain volume, and cognitive scores were significantly reduced in the prenatal alcohol exposure group relative to controls, albeit with considerable overlap between groups. Males with prenatal alcohol exposure had reductions in all three measures, whereas females with prenatal alcohol exposure had reduced brain volumes and cognitive scores, but no difference in head circumference relative to controls. Microcephaly (defined here as head circumference ≤ 3rd percentile occurred more often in prenatal alcohol exposed participants than controls, but 90% of the exposed sample had head circumferences above this clinical cutoff indicating that head circumference is not a sensitive marker of prenatal alcohol exposure. Normalized head circumference and brain volume were positively correlated in both groups, and subjects with very low head circumference typically had below-average brain volumes. Conversely, over half of the subjects with very low brain volumes had normal head circumferences, which may stem from differential effects of alcohol on the skeletal and nervous systems. There were no significant correlations between head circumference and any cognitive score. These findings confirm group-level reductions in head circumference and increased rates of microcephaly in children with

  12. Cut-Off Points for Mild, Moderate, and Severe Pain on the Numeric Rating Scale for Pain in Patients with Chronic Musculoskeletal Pain: Variability and Influence of Sex and Catastrophizing

    Science.gov (United States)

    Boonstra, Anne M.; Stewart, Roy E.; Köke, Albère J. A.; Oosterwijk, René F. A.; Swaan, Jeannette L.; Schreurs, Karlein M. G.; Schiphorst Preuper, Henrica R.

    2016-01-01

    Objectives: The 0–10 Numeric Rating Scale (NRS) is often used in pain management. The aims of our study were to determine the cut-off points for mild, moderate, and severe pain in terms of pain-related interference with functioning in patients with chronic musculoskeletal pain, to measure the variability of the optimal cut-off points, and to determine the influence of patients’ catastrophizing and their sex on these cut-off points. Methods: 2854 patients were included. Pain was assessed by the NRS, functioning by the Pain Disability Index (PDI) and catastrophizing by the Pain Catastrophizing Scale (PCS). Cut-off point schemes were tested using ANOVAs with and without using the PSC scores or sex as co-variates and with the interaction between CP scheme and PCS score and sex, respectively. The variability of the optimal cut-off point schemes was quantified using bootstrapping procedure. Results and conclusion: The study showed that NRS scores ≤ 5 correspond to mild, scores of 6–7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning. Bootstrapping analysis identified this optimal NRS cut-off point scheme in 90% of the bootstrapping samples. The interpretation of the NRS is independent of sex, but seems to depend on catastrophizing. In patients with high catastrophizing tendency, the optimal cut-off point scheme equals that for the total study sample, but in patients with a low catastrophizing tendency, NRS scores ≤ 3 correspond to mild, scores of 4–6 to moderate and scores ≥7 to severe pain in terms of interference with functioning. In these optimal cut-off schemes, NRS scores of 4 and 5 correspond to moderate interference with functioning for patients with low catastrophizing tendency and to mild interference for patients with high catastrophizing tendency. Theoretically one would therefore expect that among the patients with NRS scores 4 and 5 there would be a higher average PDI score for those with low

  13. Cutting Off Access to Government Information: Loopholes in the Access to Information Act Generated by the Information Highway.

    Science.gov (United States)

    Macaulay, Tyson

    1997-01-01

    In Canada, public access to federal government information is ruled by the Access to Information Act. This article explores loopholes in the Act, issues of data format and "tradeable" data (government information with substantial value), that could cause a conflict between its intent and effect. Tradeable data is troublesome because of…

  14. Alzheimer's disease dementia as the diagnosis best supported by the cerebrospinal fluid biomarkers: difference in cut-off levels from thai experience.

    Science.gov (United States)

    Senanarong, V; Siwasariyanon, N; Washirutmangkur, L; Poungvarin, N; Ratanabunakit, C; Aoonkaew, N; Udomphanthurak, S

    2012-01-01

    Objectives. To determine how beta-amyloid 1-42 (Aβ 1-42), total tau (tTau), and phosphorylated tau (pTau) levels in CSF behave in a cohort of Thai patients from the Memory Clinic in Bangkok, Thailand. Methods. During 2009-2011, twenty eight subjects from the memory clinic at Siriraj Hospital had CSF analysis for AD biomarkers. Aβ 1-42, tTau, and pTau (at amino acid 181) were measured in CSF by ELISA technique. Results. Mean of Thai mental state examination (TMSE) of 28 Thai cohort was 16.48 (6.63). Fourteen had AD, ten had non-AD dementia, and four non-cases were those with subjective memory complaint (SMC) without dementia. Mean CSF Aβ 1-42, tTau, ptau (181), and pTau/Aβ 1-42 in the AD group were 241.36 (60.14) pg/mL, 222.79 (212.24) pg/mL, 40.79 (27.84) pg/mL, and 0.18 (0.12) accordingly. Mean CSF Aβ 1-42, tTau, pTau (181), and pTau/Aβ 1-42 in the non-AD dementia group were 430.40 (125.18) pg/mL, 349.30 (692.16) pg/mL, 36.80 (14.90) pg/mL, and 0.09 (0.04) accordingly. Mean CSF Aβ 1-42, tTau, pTau (181), and pTau/Aβ 1-42 in the non-cases with SMC without dementia were 499.75 (93.44) pg/mL, 137.25 (62.74) pg/mL, 31.75 (17.48) pg/mL, and 0.06 (0.02). There is significant difference (P < 0.05) among the 3 groups in CSF Aβ 1-42 and pTau/Aβ 1-42. We propose mean + 1.5 SD of CSF Aβ 1-42 in AD group (331.57 pg/mL) to be the cut-off point in Thai subjects. Conclusion. There are significant different in CSF Aβ 1-42 and CSF p-tau/Aβ 1-42 among those with AD, non-AD dementia and non cases with SMC without dementia in Thai cohort. Cut-off point of CSF Aβ 1-42 of 331.57 pg/mL is suggested in Thai study.

  15. Vocoder Excitation Model Based on Voicing Cut-Off Frequency%基于语音截止频率的声码器激励模型

    Institute of Scientific and Technical Information of China (English)

    徐静云; 赵晓群; 李荣芸; 王峤

    2015-01-01

    在低速率声码器中,对激励信号的描述直接影响重建语音的质量。为了改善音质,提出一种基于语音截止频率的声码器激励模型。该模型编码时通过语音截止频率将激励谱分成谐波和噪声2个子带,谐波子带的激励谱幅度引入离散余弦变换变维模型进行描述,语音截止频率进行4 bit 非线性量化。解码时将恢复出的谐波子带激励谱幅度进行傅里叶反变换,噪声子带则由白噪声进行以语音截止频率为阻带截止频率的高通滤波,最后由谐波子带和噪声子带叠加出激励。实验结果表明,该模型提高了全带激励谱幅度和谐波噪声成分的描述精度,可使重建语音的音质得以明显改善,主客观指标更优,对男声更为突出。%A vocoder excitation model based on voicing cut-off frequency(VCO) was presented. In enco-ding part, the excitation spectrum was divided into two distinct spectral bands by VCO: harmonic sub-band and noise sub-band, the model of variable dimension through discrete cosine transform was used to express the excitation spectral parameter of harmonic sub-band, and VCO was quantized through 4bits nonlinear scalar quantization. In decoding part, the recovered excitation spectral parameter of harmonic sub-band was inversely Fourier transformed, the noise sub-band was obtained by the white noise pass through a high pass filter which used the VCO as the stop-band cut-off frequency, harmonic sub-band and noise sub-band were superimposed to get the excitation. The model greatly improves the description preci-sion of the entire spectral envelope and harmonic plus noise components. With better subjective and ob-jective indicators, especially for male’s speech, the reconstructed speech shows more natural.

  16. Age-dependent D-dimer cut-off to avoid unnecessary CT-exams for ruling-out pulmonary embolism; Altersangepasste Anhebung des D-Dimer-Grenzwertes zur Vermeidung unnoetiger CT-Untersuchungen bei Verdacht auf Lungenarterienembolie

    Energy Technology Data Exchange (ETDEWEB)

    Altmann, M.M.; Hoehne, M.; Herold, T. [HELIOS Klinikum Berlin-Buch (Germany). Radiology; Wrede, C.E. [HELIOS Klinikum Berlin-Buch (Germany). Emergency Department; Peetz, D. [HELIOS Klinikum Berlin-Buch (Germany). Laboratory Medicine; Stroszczynski, C. [University Medical Center, Radiology, Regensburg (Germany)

    2015-09-15

    To evaluate the effect of an age-dependent D-Dimer cut-off in patients who underwent a computed tomography pulmonary angiogram (CTPA) for suspected pulmonary embolism (PE). Retrospective application of an age-dependent D-dimer cut-off (age/100 in patients aged over 50) in 530 consecutive patients, both in- and outpatients, aged over 18, who underwent CTPA for suspected PE according to the guidelines. The application of an age-dependent D-dimer cut-off showed a now negative test-result in 17 of 530 patients (3.2 %). The proportion was 4.1 % (17 of 418) in patients aged over 50. None of these 17 cases was diagnosed with PE in CTPA, the false-negative rate was 0 %. The effect could be seen in outpatients (14 of 377 [3.7 %]) as well as in inpatients(3 of 153 [2.0 %]) with no statistically significant difference (p > 0.05). The application of an age-dependent D-dimer cut-off as part of the guideline-based algorithm for suspected PE reduced the number of necessary CTPA in outpatients as well as in inpatients.

  17. Removal of methadone by extended dialysis using a high cut-off dialyzer: implications for the treatment of overdose and for pain management in patients undergoing light chain removal.

    Science.gov (United States)

    Arelin, Viktor; Schmidt, Julius J; Kayser, Nathalie; Kühn-Velten, W Nikolaus; Suhling, Hendrik; Eden, Gabriele; Kielstein, Jan T

    2016-06-01

    The synthetic opioid methadone hydrochloride has a low molecular weight of 346 D, a high volume of distribution (4 - 7 L/kg), and is lipophilic. It is used as an analgesic and for the maintenance treatment of opiate dependence. In drug addicts, methadone is frequently involved in mixed intoxications that can lead to death. Here we present the case of a drug addict in whom a high cut-off dialysis membrane together with extended dialysis was used in the setting of suspected overdose and acute kidney injury. Although the observed dialyzer plasma clearance (31.5 mL/min) and reduction ratio (38%) were higher than previously reported for standard hemodialysis, the total amount of methadone in the spent dialysate after 1 extended dialysis session was quite low. Hence, even extended dialysis with a high cut-off membrane does not seem to offer a clinically relevant benefit in the setting of overdose for enhanced methadone removal. On the other hand, in patients undergoing high cut-off dialysis for the removal of light chains, methadone could still be used as an analgesic without an additional dose after high cut-off hemodialysis.

  18. Accuracy of sagittal abdominal diameter as predictor of abdominal fat among Brazilian adults: a comparation with waist circumference Precisión de diámetro abdominal sagital como predictor de la grasa abdominal en brasileños adultos: una comparación con la circunferencia de la cintura

    Directory of Open Access Journals (Sweden)

    G. Duarte Pimentel

    2010-08-01

    Full Text Available Aim: We aim was to compare the sagittal abdominal diameter (SAD with waist circumference (WC as a predictor of central obesity among adults and to identify the sensitivity and specificity of the best cut-off point for SAD. Methods: A cross-sectional study of 266 Brazilians adults (euthrophic and overweight, aged 31-84 years old, of which 89 men and 177 women, was carried out. Anthropometric measurements such as SAD, weight, height, waist and hip circumferences, waist and hip ratio, body mass index, body fat percentage were performed. Receiver Operating Characteristics (ROC curve was used to identify the sensitivity and specificity of the best cut off point for SAD as a predictor of central obesity. Statistical analysis were considered significant with a value of p Objetivo: Nuestro objetivo es comparar el diámetro abdominal sagital (DAS con la circunferencia de la cintura (CC como predictor de la obesidad central entre los adultos y para determinar la sensibilidad y la especificidad de la mejor punto de corte para el DAS. Métodos: Estudio transversal de 266 adultos brasileños (eutróficos y con sobrepeso, de entre 31-84 años de edad, de los cuales 89 hombres y 177 mujeres, se llevó a cabo. Las medidas antropométricas como la DAS, peso, talla, circunferencia de la cintura y cadera, relación cintura-cadera, índice de masa corporal, porcentaje de grasa corporal se llevaron a cabo. Receiver Operating Characteristics (ROC curva se utilizó para determinar la sensibilidad y la especificidad del mejor punto de corte para el DAS como predictor de la obesidad central. El análisis estadístico se consideró significativo un valor de p < 0,05. Resultados: La medición del DAS se correlacionó positivamente con CC para ambos sexos, aunque más fuerte entre las mujeres con sobrepeso y obesidad (r = 0,71, p < 0,001, r = 0,79, p < 0,001, respectivamente que los hombres. De curvas ROC identificado las mejores puntos de corte para el DAS de 23.1 cm y 20

  19. Neck circumference as a screening measure of overweight/obesity among Indian adults

    Directory of Open Access Journals (Sweden)

    Mondal Nitish

    2016-09-01

    Full Text Available Neck circumference (NC is an anthropometric measurement of differentiating body fat distributions and a marker of upper subcutaneous adiposity. The present study highlights the association and importance of NC as a suitable proxy screening measure of overweight/obesity as compared to the conventional anthropometric variables used among Indian adults. The present community based cross-sectional study was undertaken among 1169 Karbi adults (males: 625; females: 544 residing in Karbi Anglong district of Assam, Northeast India, who were selected through a multistage stratified random sampling method. Height, weight, waist circumference (WC, hip circumference (HC and NC were recorded using standard procedures. The body mass index (BMI was calculated and prevalence of overweight/obesity was assessed using standard cut-offs. The prevalence of obesity using BMI (≥25.00 kg m-2 was 15.52% and 15.26% among males and females, respectively (p≥0.05.The prevalence of obesity using NC was observed to be significantly higher among males (48.80% than females (19.12% (p<0.01. The binary logistic regression analysis showed that NC predicted obesity over the conventional anthropometric variables with reasonable accuracy (p<0.01. The ROC-AUC analysis showed a relatively greater significant association between BMI, WC and HC and NC for obesity (p<0.01. Thus, NC appears to be a potentially simple, easyto- use screening measure for predicting obesity among adults. Further studies are required to validate its use for screening of obesity among other ethnic populations in India.

  20. Analysis on Cutting-off of Non-fire-fighting Power Supply of Metro Stations%地铁车站非消防电源的切除分析

    Institute of Scientific and Technical Information of China (English)

    郭莉

    2014-01-01

    现行国家相关设计规范对火灾时非消防电源的切除提出了明确的规定,但对火灾时切除非消防电源的目的、方式(手动方式或自动方式)及位置并未形成一致的要求。针对这些问题,进行较为深入的分析。明晰了火灾时切除非消防电源的主要原则和目标,即:避免造成人员恐慌和二次事故;避免火灾的进一步扩大;保证火灾扑救人员的安全,避免造成触电事故;在保证消防救灾的前提下,尽量减小断电范围。最后,结合地铁车站用电负荷及运营管理的特点,提出车站设备区、公共区发生火灾时切除非消防电源的原则、方式及位置。%In the current national design codes and standards,there are definite provisions for the cutting-off of the non-fire-fighting power supply,however,there are no specific provisions on the purposes,manners (manual cutting-off manner or automatic cutting-off manner)and positions of the cutting-off of the non-fire-fighting power supply.In this article,analysis is made on the purposes,manners (manual cutting-off manner or automatic cutting-off manner)and positions of the cutting-off of the non-fire-fighting power supply.The main principles and purposes of the cutting-off of the non-fire-fighting power supply in case of fire are defined,i.e.,trying to avoid passenger chaos and secondary incident,trying to avoid further spread of the fire,trying to ensure the safety of the firefighters and trying to minimize the power cutting-off scope.Finally,the principles,manners and positions of the cutting-off of the non-fire-fighting power supply in case of fire occurring in the equipment area and public area of Metro stations are proposed on basis of the features of the power load and operation management of Metro stations.

  1. Three-dimensional US assessment of hepatic volume, head circumference, and abdominal circumference in healthy and growth-restricted fetuses

    NARCIS (Netherlands)

    S.M. Boito; J.A.M. Laudij (Jacqueline); P.C. Struijk (Pieter); Th. Stijnen (Theo); J.W. Wladimiroff (Juriy)

    2002-01-01

    textabstractPURPOSE: To establish reproducibility and normal values for fetal hepatic volume and its significance in identification of fetal growth restriction relative to head and upper abdominal circumferences according to a cross-sectional study design. MATERIALS AND METHODS: Pr

  2. Optimal cut-off value for homeostasis model assessment (HOMA) index of insulin-resistance in a population of patients admitted electively in a Portuguese cardiology ward.

    Science.gov (United States)

    Timóteo, Ana Teresa; Miranda, Fernando; Carmo, Miguel Mota; Ferreira, Rui Cruz

    2014-01-01

    Introdução: A resistência à insulina é a chave fisiopatológica de explicação da Síndrome Metabólica. Apesar de claramente útil, o índice Homeostasis Model Assessment (uma medição da resistência à insulina) não tem sido aplicado sistematicamente na prática clínica. Uma das principais razões relaciona-se com a discrepância de valores limiares reportados em diferentes populações. Procurámos avaliar uma população portuguesa o valor limiar ideal e avaliar a sua relação com a Síndrome Metabólica. Material e Métodos: Selecionámos uma coorte de indivíduos admitidos eletivamente numa enfermaria de cardiologia com um IMC insulina. Selecionouse também uma coorte de validação composta por 300 indivíduos, sem aplicação dos critérios de exclusão referidos anteriormente. Resultados: De uma população de 7 000 indivíduos e após aplicação dos critérios de exclusão, ficámos com 1 784 indivíduos para análise. O percentil 90 do índice foi 2,33. Na coorte de validação, aplicando esse limiar, 49,3% dos indivíduos apresentam resistência à insulina. Contudo, apenas 69,9% dos doentes com síndrome metabólica apresentam resistência à insulina com esse limiar. Por análise das curvas ROC, o limiar ideal para síndrome metabólica é 2,41. O índice Homeostasis Model Assessment correlacionou-se com o IMC (r = 0,371, p insulina é 2,33 e para síndrome metabólica é 2,41. Conclusão: O índice Homeostasis Model Assessment correlacionou-se com o IMC e é um preditor independente de síndrome metabólica.

  3. The impact of lowering the cut-off value on the sensitivity of the Platelia Elisa IgG (Bio-Rad) test for toxoplasmosis diagnosis.

    Science.gov (United States)

    Mouri, Oussama; Kendjo, Eric; Touafek, Feriel; Fekkar, Arnaud; Konte, Ousmane; Imbert, Sebastien; Courtin, Régis; Mazier, Dominique; Paris, Luc

    2015-01-01

    Determining specific immune status against Toxoplasma gondii is essential for assessing the risk of reactivation in immunocompromised patients or defining serological monitoring and appropriate prophylactic measures during pregnancy. In France, toxoplasmosis serological screening requires systematic testing for IgM and IgG antibodies. The Platelia Toxo IgG and IgM test (Bio-Rad) is one of the most widely used tests for anti-toxoplasmic antibody detection. We performed a study on 384 sera, including 123 IgG negative (toxoplasmosis seroconversion in 76.7% of cases (33/43). Our findings may improve toxoplasmosis care by reducing therapeutic intervention time and eliminating the need for further serological monitoring.

  4. New cut-off values for ferritin and soluble transferrin receptor for the assessment of iron deficiency in children in a high infection pressure area

    NARCIS (Netherlands)

    K.S. Phiri; J.C.J. Calis; A. Siyasiya; I. Bates; B. Brabin; M. Boele van Hensbroek

    2009-01-01

    Background: Due to the potential risk of iron supplementation in iron replete children, it is important to properly identify children who may require iron supplementation. However, assessment of the iron status has proven to be difficult, especially in children living in areas with high infection pr

  5. Cut-off of Non-fire Power Supply in Civil Buiding%民用建筑非消防电源的切除

    Institute of Scientific and Technical Information of China (English)

    樊海东

    2011-01-01

    Fire fighting system is related to personal property and is importance in design and examination.The rules about cutting off non-fine power supply under firing had be early set.But following the improvement of people's life,the classification of non-fire%消防系统关系到人身及财产安全,一直是设计及审查的重点。关于火灾状态下非消防电源的切除要求各规范中早有规定,但随着生活水平的提高,非消防电源的分类日趋复杂。就火灾状态下如何合理切断非消防电源进行了论述,希望电气设计师在设计过程中加深对众多规范的理解,使设计成果更加合理。

  6. UV Filtering of Dye-Sensitized Solar Cells: The Effects of Varying the UV Cut-Off upon Cell Performance and Incident Photon-to-Electron Conversion Efficiency

    Directory of Open Access Journals (Sweden)

    Matthew Carnie

    2012-01-01

    Full Text Available With current technology, UV filters are essential to ensure long-term dye-sensitized solar cell (DSC stability. Blocking photons, however, will have an obvious effect on device performance and upon its incident photon-to-current conversion efficiency (IPCE. Filters have been applied to DSC devices with a range of cut-off wavelengths in order to assess how different levels of filtering affect the performance and IPCE of devices made with three different dyes, namely N719, Z907, and N749. It is shown that dyes that extend their IPCE further into the NIR region suffer lesser relative efficiency losses due to UV filtering than dyes with narrower action spectra. Furthermore, the results are encouraging to those working towards the industrialisation of DSC technology. From the results presented it can be estimated that filtering at a level intended to prevent direct band gap excitation of the TiO2 semiconductor should cause a relative drop in cell efficiency of no more than 10% in forward illuminated devices and no more than 2% in reverse illuminated devices.

  7. PREVALENCE OF WASTED, OVERWEIGHT AND OBESE CHILDREN BASED ON WORLD HEALTH ORGANISATION CUT-OFFS FOR BODY MASS INDEX, IN A URBAN SLUM

    Directory of Open Access Journals (Sweden)

    Sukanya Badami

    2014-11-01

    Full Text Available INTRODUCTION: BMI is a good indicator of levels of body fat, and it is known that having a BMI that is either too low or too high is associated with an increased risk of ill health during childhood as well as later in life. BMI is relatively quick and easy to calculate and as a result, is used for population surveys and by health professionals when assessing individual patients. OBJECTIVES: To assess the prevalence of wasted, overweight and obese children in an urban slum using WHO child growth standards BMI cut offs. MATERIALS AND METHODS: Study included 150 urban slum children of whom 77 were boys and 73 were girls. Anthropometric data in the form of height in cms and weight in kgs were collected by standard methods as reported by D. B. Jelliffe. BMI was calculated. Analysis of data was done according to WHO child growth standards. RESULTS: The prevalence of wasting was 25.97% in boys and 24.65% in girls. Among boys 1.29% were at risk of overweight, 2.59% were overweight, 2.59% were obese. Among girls 5.47% were at risk of overweight and 2.73% were obese. CONCLUSION: It can concluded from the study that undernutrition remains the main problem than overnutrition. However, the rapid changes in the dietary patterns and life styles occurring in many developing countries warrant close monitoring of overweight prevalence in children so that preventive measures can be taken in timely manner.

  8. Measurement of Gastric Circumference in Foetuses with Oesophageal Atresia.

    Science.gov (United States)

    Hoopmann, M; Kagan, K O; Borgmeier, F; Seitz, G; Arand, J; Wagner, P

    2015-11-01

    Background: The specific recognition of oesophageal atresia (OA) with or without a tracheal fistula in a foetus is a diagnostic challenge for prenatal medicine. The aim of the present work is to analyse the value of the measurement of gastric size in the diagnosis of this significant malformation. Materials and Methods: Altogether, the examinations of 433 pregnancies between the 18.4 and 39.1 weeks of gestation were retrospectively analysed. 59 of these foetuses exhibited an OA. By means of a linear regression analysis with normal foetuses, significant parameters influencing gastric size were examined. Subsequently the gastric sizes were transformed into z values and a comparison was made between OA with and without fistulae with the help of t tests. Results: In the normal foetuses there was a significant association between the gastric circumference and the abdominal circumference (circumference = 6.809 + 0.179 × abdominal circumference, r = 0.686, p values in the normal group and in the groups of OA with fistula and without fistula amounted to 0.0 (SD 1.0), -1.3 (SD 2.2) and -4.5 (SD 1.0). Conclusion: Measurements of the gastric circumference below the 5th percentile should lead to further diagnostic measures, especially when associated with polyhydramnios. Although OA without a fistula is always conspicuous, only about one in three OAs with fistula are associated with a significantly smaller stomach.

  9. Head circumference in Iranian infants

    Directory of Open Access Journals (Sweden)

    Mohammad Esmaeili

    2015-03-01

    Full Text Available Introduction: Head circumference (HC measurement is one of the important parameter for diagnosis of neurological, developmental disorders and dysmorphic syndromes. Recognition of different disorders requires an understanding of normal variation for HC size, in particular, in infancy period with most rapid growth of the brain. Because of international and interracial standard chart differences about anthropometric indices, some differences from local to local, generation to generation and changes in ethnic mix of population and socioeconomic factors, periodic revolution of HC size is suggested. The aims of our study were presenting local HC standard for an Iranian infant population and comparison with the American national center of health statistics (NCHS charts accepted by WHO. Methods: 1003 subjects aged from birth to 24 months apparently healthy normal children enrolled randomly in this cross sectional study. HC size were measured and recorded. Tables and graphs were depicted by Excel Microsoft Office 2007. We use two tailed t-student test for statistical analysis. Results: The mean of HC size in boys was larger than girls. The curves were followed a similar pattern to NCHS based on a visual comparison. Overall our subjects in both sexes at birth time had smaller HC size than NCHS. In other ages our children had larger HC size than those of NCHS. Conclusion: Because of international and interracial difference of HC size. We recommend in each area of the world, local anthropometric indices are constructed and used clinically. In addition more extensive and longitudinally design comprehensive studies is suggested.

  10. Maternal Obesity and Neck Circumference.

    Science.gov (United States)

    Anglim, B; O'Higgins, A; Daly, N; Farren, M; Turner, M J

    2015-06-01

    Obese women are more likely to require general anaesthesia for an obstetric intervention than non-obese. Difficult tracheal intubation and oxygen desaturation is more common in pregnancy. Failed tracheal intubation has been associated with an increase in neck circumference (NC). We studied the relationship between maternal obesity and NC as pregnancy advanced in women attending a standard antenatal clinic. Of the 96 women recruited, 13.5% were obese. The mean NC was 36.8cm (SD 1.9) in the obese women compared with 31.5cm (SD 1.6) in women with a normal BMI (p < 0.001) at 18-22 weeks gestation. In the obese women it increased on average by 1.5cm by 36-40 weeks compared with an increase of 1.6 cm in women with a normal BMI. The antenatal measurement of NC is a simple, inexpensive tool that is potentially useful for screening obese women who may benefit from an antenatal anaesthetic assessment.

  11. Alzheimer’s Disease Dementia as the Diagnosis Best Supported by the Cerebrospinal Fluid Biomarkers: Difference in Cut-Off Levels from Thai Experience

    Directory of Open Access Journals (Sweden)

    V. Senanarong

    2012-01-01

    Full Text Available Objectives. To determine how beta-amyloid 1-42 (Aβ 1-42, total tau (tTau, and phosphorylated tau (pTau levels in CSF behave in a cohort of Thai patients from the Memory Clinic in Bangkok, Thailand. Methods. During 2009–2011, twenty eight subjects from the memory clinic at Siriraj Hospital had CSF analysis for AD biomarkers. Aβ 1-42, tTau, and pTau (at amino acid 181 were measured in CSF by ELISA technique. Results. Mean of Thai mental state examination (TMSE of 28 Thai cohort was 16.48 (6.63. Fourteen had AD, ten had non-AD dementia, and four non-cases were those with subjective memory complaint (SMC without dementia. Mean CSF Aβ 1-42, tTau, ptau (181, and pTau/Aβ 1-42 in the AD group were 241.36 (60.14 pg/mL, 222.79 (212.24 pg/mL, 40.79 (27.84 pg/mL, and 0.18 (0.12 accordingly. Mean CSF Aβ 1-42, tTau, pTau (181, and pTau/Aβ 1-42 in the non-AD dementia group were 430.40 (125.18 pg/mL, 349.30 (692.16 pg/mL, 36.80 (14.90 pg/mL, and 0.09 (0.04 accordingly. Mean CSF Aβ 1-42, tTau, pTau (181, and pTau/Aβ 1-42 in the non-cases with SMC without dementia were 499.75 (93.44 pg/mL, 137.25 (62.74 pg/mL, 31.75 (17.48 pg/mL, and 0.06 (0.02. There is significant difference (P<0.05 among the 3 groups in CSF Aβ 1-42 and pTau/Aβ 1-42. We propose mean + 1.5 SD of CSF Aβ 1-42 in AD group (331.57 pg/mL to be the cut-off point in Thai subjects. Conclusion. There are significant different in CSF Aβ 1-42 and CSF p-tau/Aβ 1-42 among those with AD, non-AD dementia and non cases with SMC without dementia in Thai cohort. Cut-off point of CSF Aβ 1-42 of 331.57 pg/mL is suggested in Thai study.

  12. Burst of reactive oxygen species (ROS in pedicel mediated fruit abscission after carbohydrate supply was cut off in longan (Dimocarpus longan

    Directory of Open Access Journals (Sweden)

    Ziqin eYang

    2015-05-01

    Full Text Available Cutting off carbohydrate supply to longan (Dimocarpus longan Lour. fruit by girdling and defoliation or by detachment induced 100% abscission within a few days. We used these treatments to study the involvement of reactive oxygen species (ROS in fruit abscission. Girdling plus defoliation decreased sugar concentrations in the fruit and pedicel and depleted starch grains in the chloroplasts in the cells of abscission zone. Prior to the occurrence of intensive fruit abscission, there was a burst in ROS in the pedicel, which peaked at 1 day after treatment (DAT, when H2O2 in the abscission zone was found to be chiefly located along the plasma membrane (PM. H2O2 was found exclusively in the cell walls 2 DAT, almost disappeared 3 DAT, and reappeared in the mitochondria and cell walls 4 DAT. Signs of cell death such as cytoplasm breakdown were apparent from 3 DAT. The burst of ROS coincided with a sharp increase in the activity of PM-bound NADPH oxidase in the pedicel. At the same time, activities of antioxidant enzymes including superoxide dismutase (SOD, catalase and peroxidase (POD were all increased by the treatment and maintained higher than those in the control. Accompanying the reduction in H2O2 abundance, there was a sharp decrease in PM-bound NADPH oxidase activity after 1 DAT in the treated fruit. H2O2 scavenger dimethylthiourea (DMTU, 1 g L-1 significantly inhibited fruit abscission in detached fruit clusters and suppressed the increase in cellulase activity in the abscission zone. These results suggest that fruit abscission induced by carbohydrate stress is mediated by ROS. Roles of ROS in regulating fruit abscission were discussed in relation to its subcellular distribution.

  13. Effects of gender on screening value of aldosterone-renin ratio for primary aldosteronism

    Directory of Open Access Journals (Sweden)

    Ye-qiong SONG

    2017-02-01

    Full Text Available Objective To explore the potential influence of gender on screening value of aldosterone-renin ratio (ARR for primary aldosteronism (PA. Methods The biochemical parameters were collected of 451 PA patients and 300 essential hypertension (EH patients who were diagnosed in the General Hospital of PLA from 1992 to 2014. Each group was then divided into two groups by gender. The clinical characteristics were compared and then the receiver operating characteristic curve (ROC was conducted to evaluate the best cut-off value. Results The plasma aldosterone concentration (PAC, serum sodium and ARR were much higher, but the plasma rennin activity (PRA, serum potassium and BMI were much lower in PA patients than in EH patients (P0.05. The best cut-off value of ARR in male PA patients was 19.11, the relevant area under the curve (AUC was 0.968, the sensitivity and specificity was 92.44% and 93.08%, and the Youden index (YI was 0.86. The best cut-off value of ARR in female PA patients was 27.26, with AUC 0.956, sensitivity 92.07%, specificity 90.00% and YI 0.82, respectively. If the cut-off value was set at 27.26 in males, the specificity would rise a little, but the sensitivity and YI would sharply decrease. Similarly, the sensitivity would increase a little but the specificity and YI would fall substantially if the cut-off value in females was set at 19.11. The best cut-off value of ARR in men was smaller than the official value recommended by guidelines. Conclusion Gender is an important factor should be considered while ARR is used in PA screening, and the cut-off value of ARR in screening female PA patients should be setting higher. DOI: 10.11855/j.issn.0577-7402.2017.01.10

  14. Impact analysis of different cut-off plans on river floods%不同裁弯取直方案对河道行洪影响分析

    Institute of Scientific and Technical Information of China (English)

    郭志学; 钟友胜; 吕伟

    2014-01-01

    T wo-dimensional numerical models were used to analyze the impacts of tw o cut-off plans on river floods in the up-stream of Fu River in Chengdu City. T he first cut-off plan assigned the elevation difference of the curve reach to the whole riv-er, and the second cut-off plan assigned t he elevation difference to one step-fall. The results show ed that ( 1) both cut-off plans can decrease the wat er level and increase the velocity in the upstream of orthodontic curved river channel and w eaken the flow dynamics in the old river channel; ( 2) the first cut-off plan has higher w eakening impacts on the flow discharge and hydrody-namic parameters in the old river channel than the second cut- off plan; ( 3) the second cut-off plan can cause high velocity in the local area, w hich is disadvantageous to the river channel erosion and has apparent noise pollution; and ( 4) the first plan is similar to the natural cut-off river progress by assigning the elevation difference to the w hole river channel therefore it is more reasona-ble.%采用二维数学模型,对成都市府河上游段河道裁弯取直工程进行了对比分析,探讨了弯颈落差全河段分摊和设置集中跌落两种不同裁弯取直方案对河道行洪的影响。结果表明,不同裁弯取直方案均会造成畸弯河道上游主槽水位降低和流速的增加,并引起老河湾水流动力的减弱;落差分摊方案对老河湾分流量及水流动力参数的消弱作用更大,上游河道水位降低更为明显;从流速沿程分布规律来看,设置集中跌落的裁弯取直方案将引起局部河段流速过高,对河道冲刷安全不利,且存在明显的噪声污染。但是,落差分摊方案将弯颈落差通过工程措施直接分摊到整治河段范围,更接近自然裁弯取直的河道演变过程,因此该工程方案更为合理。

  15. Role of signal-to-cut-off ratios of anti-hepatitis C virus antibody by enzyme immunoassays along with ID-NAT for screening of whole blood donors in India

    Directory of Open Access Journals (Sweden)

    Satyam Arora

    2016-01-01

    Full Text Available Background: The use of elevated signal-to-cut off ratios (S/CO as an alternate to further supplemental testing (i.e., RIBA has been included in the guidelines provided by the Centres for Disease Control and Prevention for HCV diagnostic purposes since 2003. With availability of screening by NAT and non availability of RIBA, further confirmation of HCV infection has been possible at the molecular level (RNA. Aims: To study the role of S/CO ratios of anti hepatitis C virus antibody detection by enzyme immunoassays (EIA along with ID-NAT for screening of whole blood donors. Methods: In this study we reviewed the donor screening status for anti HCV from January 2013 to May 2014. All the donations were screened for anti HCV with fourth generation ELISA (BioRad Monolisa Ag-Ab Ultra as well as with ID NAT (Procleix Ultrio. The S/CO ratio of all the anti-HCV reactive samples were analysed for their presence of HCV RNA. Results: On screening 21,115 donors for HCV, 83 donors (0.39% were found reactive on pilot tube and repeat plasma bag testing (S/Co ratio ≥1 by ELISA. 41 donors were HCV RNA reactive with ID-NAT. 4 samples out of 41 were NAT yields and 37 were concordant reactive with ELISA. The S/Co ratio of anti-HCV reactive samples ranged from 0.9-11.1 [mean = 5.1; SD ΁ 2.9] whereas S/Co ratio of anti HCV and NAT reactive samples (concordant positives ranged from 4.1-11.1 [mean 7.3]. In our analysis we found that S/CO ratio of 4 showed positive predictive value (PPV and sensitivity of 100%. Summary/Conclusions: Our study showed that S/CO of 4 for anti HCV on ELISA would have maximum positive predictive value of having donor with HCV RNA. S/CO ratio of 4 is very close to 3.8 which was the CDC guideline. The presence of anti-HCV does not distinguish between current or past infections but a confirmed anti-HCV-positive result indicates the need for counseling and medical evaluation for HCV infection.

  16. EFFECT OF KAPALBHATI PRANAYAMA ON WAIST AND HIP CIRCUMFERENCE

    Directory of Open Access Journals (Sweden)

    Dinkar

    2013-03-01

    Full Text Available ABSTRACT: CONTEXT (BACKGROUND AND AIMS: Rapid industrialization, environmental pollution, overcrowding, sedentary lifestyle and var ious stress factors are responsible for the deterioration of the physical health of a person. Als o, prevalence of obesity in developing countries is believed to be on the rise. This requi res special and specific techniques to transcend the limits of our physical and mental abilities exper ienced in everyday life. Hence, in the present study beneficial effect of Kapalbhati pranayama on wa ist circumference and hip circumference was studied in overweight individuals. METHODS AND MATERIALS: This study was conducted in a well-known tertiary hospital in Mumbai after th e institutional ethical clearance and written consent from each participant. A total of 60 overweig ht resident doctors were recruited in this study. The participants were divided into study and c ontrol groups, each group containing 30 subjects of both sexes. The study group was asked to perform Kapalbhati pranayama. The duration of the study was eight weeks. Waist circum ference and hip circumference were assessed in both the groups. STATISTICAL ANALYSIS: Paired t- test was applied for statistical analysis and p value <0.05 was considered the level of significance. RESULTS AND CONCLUSION: In study group, waist circumference and hip circumfe rence decreased significantly as compared to that of control group. T his shows that Kapalbhati pranayama has reducing impact on waist circumference and hip circum ference in overweight individuals. The neuroendocrine and autonomic nervous system mechani sms might be involved in the effects of Kapalbhati pranayama, which need further study.

  17. 腰围与体重指数诊断儿童青少年代谢综合征临床价值比较%Comparison of the value of waist circumference with that of body mass index in diagnosing metabolic syndrome in children and adolescents

    Institute of Scientific and Technical Information of China (English)

    罗静思; 陈少科; 范歆; 唐睛; 冯莹

    2012-01-01

    Objective To evaluate the practical value of waist circumference and body mass index (BMI) in diagnosing metabolic syndrome (MS) in children and adolescents. Methods A random sampling method was used to select 7893 children and adolescents aged 6 to 18 years from 14 schools in Nanning City from June 2009 to October 2010.They were surveyed to analyze the correlation among waist circumference, BMI and MS detection indicators. Based on MS diagnostic criteria proposed by CDS and IDF(2007) ,receiver operating characteristic curve(ROC)was used to compare waist circumference's area under ROC curve and body mass index(BMI) 's for reflecting the accuracy of diagnosis of MS. Results (l)Average value of MS detection indicators,except for fasting blood glucose(FBG)and aspartate aminotransfer-ase(AST) ,was significantly different among the three groups, except that the mean of HDL-C decreased with the increase of obesity .These indexes in obesity group were higher than other two groups (P< 0.05). (2) Waist circumference and BMI were positively correlated with hip, waist-hip ratio, SBP, DBP, FBG.TG, LDL-C, FINS and HOMA-IR, but were negatively correlated with HDL-C. (3) Waist circumference predicted each component of MS more sensitively than BMI. In addition, waist circumference positive predictive value (except for HDL-C) was relatively better than BMI. (4) According to standard CDS, the area under ROC curve of waist circumference and BMI were 0.949 and 0.951,respective- ly. According to IDF (2007) , their area were 0.941 and 0.921. Conclusion Waist circumference has more diagnostic value than BMI in children and adolescents with MS. The waist measurement may be helpful for MS screening in children and adolescents.%目的 比较儿童青少年腰围与体重指数(BMI)在代谢综合征(MS)诊断中的实用价值.方法 采用随机抽样的方法于2009年6月至2010年10月从南宁市14所中小学中抽取6~18岁儿童青少年7893人,分析腰围、BMI与MS各检测指

  18. Waist circumference percentiles among Turkish children under the age of 6 years.

    Science.gov (United States)

    Hatipoglu, Nihal; Mazicioglu, M Mumtaz; Poyrazoglu, Serpil; Borlu, Arda; Horoz, Duygu; Kurtoglu, Selim

    2013-01-01

    Waist circumference, a proxy measure of abdominal obesity, is associated with cardio-metabolic risk factors in childhood and adolescence. Although there are numerous studies about waist circumference percentiles in children, only a few studies cover preschool children. The aim of this study was to develop age- and gender-specific waist circumference smoothed reference curves in Turkish preschool children to determine abdominal obesity prevalence and to compare them with reference curves obtained from different countries. The design of the study was cross-sectional. A total of 2,947 children (1,471 boys and 1,476 girls) aged 0-6 years were included in the study. The subjects were divided according to their gender. Waist circumference was measured by using a standardized procedure. The age- and gender-specific waist circumference reference curves were constructed and smoothed with LMS method. The reference values of waist circumference, including 3rd, 10th 25th, 50th, 75th, 90th, and 97th percentiles, and standard deviations were given for preschool children. Waist circumference values increased with age, and there were differences between genders. The prevalence of abdominal obesity was calculated as 10.1 % for boys and 10.7 % for girls. Having compared our data with two other countries' data, we found that our waist circumference data were significantly lower. This is the first cross-sectional study for age- and gender-specific references of 0- to 6-year-old Turkish children. The gender- and age-specific waist circumference percentiles can be used to determine the risk of central obesity.

  19. Determinación del valor umbral de tamizaje de la glicemia en ayunas, para identificar la intolerancia a los carbohidratos, en mujeres con síndrome de ovarios poliquísticos Determination of fasting plasma glucose cut-off valuefor the identification of abnormal carbohydrate tolerance in women with polycystic ovarian syndrome

    Directory of Open Access Journals (Sweden)

    Yai-Linn Chang

    2012-12-01

    Full Text Available Objetivo: determinar el valor predictivo de la glucosa en ayunas, para identificar intolerancia a los carbohidratos en pacientes con síndrome de ovario poliquístico. Materiales y métodos: a 100 mujeres con diagnóstico de síndrome de ovario poliquístico, se les realizó una prueba de tolerancia a 75 g de glucosa. Resultados: la sensibilidad para una cifra umbral de 101 mg/dl, fue de un 41,7%, IC 95%: 23% - 63%, y la especificidad de un 92,1%, IC95 %:83% - 97%. Con un valor predictivo positivo del 62,5%, y negativo del 83,3%.El valor de corte óptimo fue de 93mg /dl, con una sensibilidad del 75%, IC 95%: 53%-89%, y una especificidad del 73,7%, IC 95%: 62%-83%. La cifra de corte umbral óptima de la glicemia en ayunas para el tamizaje de intolerancia en mujeres con SOPQ, fue de 93 mg/dl. Conclusiones: las recomendaciones actuales para diagnosticar intolerancia a los carbohidratos, en mujeres con síndrome de ovario poliquístico, no son apropiadas.Objective: To determine the predictive value of fasting glucose to identify abnormal carbohydrate tolerance in patients with polycystic ovary syndrome. Materials and methods: 100 women diagnosed with polycystic ovary syndrome underwent a tolerance test toa 75 gdose of glucose. Results: Sensitivity for a threshold value of 101 mg/dl was 41.7% (95% C.I.: 23% - 63% and specificity 92.1% (95% C.I.: 83% - 97%; with a positive predictive value of 62.5% and a negative predictive value of 83.3%. The optimum cut-off value was 93 mg/dL, with a sensitivity of 75% (95% C.I.: 53% - 89% and a specificity of 73.7% (95% C.I.: 62% - 83%. The optimum fasting plasma glucose cut-off value for intolerance in women with PCOS was 93md/dL. Conclusions: The current recommendations for diagnosing abnormal carbohydrate tolerance in women with polycystic ovary syndrome are not appropriate.

  20. Neck circumference as an anthropometric measure of obesity in diabetics

    Directory of Open Access Journals (Sweden)

    Jagadamba Aswathappa

    2013-01-01

    Full Text Available Background: Obesity is a risk factor for type 2 diabetes mellitus. Insulin resistance is associated with visceral subcutaneous fat content. Neck circumference (NC is a marker of upper body subcutaneous adipose tissue distribution. Aim: The aim of this study is to compare NC in diabetics and non-diabetics and to correlate NC with other anthropometric measures. Materials and Methods: A cross-sectional study was conducted in 350 type 2 diabetics and 350 non-diabetics of >30 years of age. Anthropometric parameters like body mass index (BMI, waist circumference (WC, hip circumference, and NC were measured. Independent t-test and Pearson′s correlation were the tests of significance done to analyze quantitative data. Results: There was positive correlation of NC, BMI, and index of central obesity. The NC in diabetics was significantly higher than in non-diabetics (P 36 cm in diabetics and >37 cm in non-diabetics was the best cutoff value to determine subjects with central obesity. Conclusion: The findings indicated that NC may be used both in clinical practice and in epidemiologic studies as a straightforward and reliable index. It is an economical easy to use test with less consumption of time and correlates well with other standard anthropometric parameters.

  1. Design of Cut-off Ditch at Valley-type Small Waste Sanitary Landfill Site in Southwest China%西南地区山谷型小型垃圾填埋场截洪沟设计

    Institute of Scientific and Technical Information of China (English)

    邹许鑫; 吕燕; 尹滔

    2012-01-01

    对西南地区山谷型小型垃圾填埋场截洪沟设计展开探讨,结合相关规范优选适用于西南地区的截洪沟设计充满度、设计流速、径流系数等关键设计参数,对截洪沟的流量计算、断面选择、沟壁沟底材料及基础设计、出水口及转弯段的设计、整体平面布置等进行讨论,提出三种优化截洪沟断面.通过截洪沟的优化设计可实现清污分流,降低渗滤液产量,减少雨水对垃圾渗滤液收集及处理系统的冲击,降低垃圾渗滤液处理成本,确保垃圾填埋场正常、安全运行.%The design of cut-off ditch at valley-type small landfill site in the southwest China is explored. The design parameters of cut-off ditch applicable to the southwest China, such as design filling degree, design flow, runoff coefficient and other key design parameters are selected according to the related codes. The flow calculation, cross section selection, materials and foundation design for the ditch walls and bottom, design of outlet and curved segment and overall layout are discussed. Three kinds of optimized cross sections of cut-off ditch are proposed. The optimization design of cut-off dilch can achieve the separation of rainwater and sewage, reduce the leachate production, mitigate the impact of rainwater on collection and treatment systems of landfill leachate, thus reducing the treatment cost of landfill leachate and ensuring the normal and safe operation of landfill site.

  2. Optimal Cut-Offs of Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) to Identify Dysglycemia and Type 2 Diabetes Mellitus: A 15-Year Prospective Study in Chinese

    Science.gov (United States)

    Lee, C. H.; Shih, A. Z. L.; Woo, Y. C.; Fong, C. H. Y.; Leung, O. Y.; Janus, E.; Cheung, B. M. Y.; Lam, K. S. L.

    2016-01-01

    Background The optimal reference range of homeostasis model assessment of insulin resistance (HOMA-IR) in normal Chinese population has not been clearly defined. Here we address this issue using the Hong Kong Cardiovascular Risk Factor Prevalence Study (CRISPS), a prospective population-based cohort study with long-term follow-up. Material & Methods In this study, normal glucose tolerance (NGT), impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and type 2 diabetes mellitus (T2DM) were defined according to the 1998 World Health Organization criteria. Dysglycemia referred to IFG, IGT or T2DM. This study comprised two parts. Part one was a cross-sectional study involving 2,649 Hong Kong Chinese subjects, aged 25–74 years, at baseline CRISPS-1 (1995–1996). The optimal HOMA-IR cut-offs for dysglycemia and T2DM were determined by the receiver-operating characteristic (ROC) curve. Part two was a prospective study involving 872 subjects who had persistent NGT at CRISPS-4 (2010–2012) after 15 years of follow-up. Results At baseline, the optimal HOMA-IR cut-offs to identify dysglyceia and T2DM were 1.37 (AUC = 0.735; 95% confidence interval [CI] = 0.713–0.758; Sensitivity [Se] = 65.6%, Specificity [Sp] = 71.3%] and 1.97 (AUC = 0.807; 95% CI = 0.777–0.886; Se = 65.5%, Sp = 82.9%) respectively. These cut-offs, derived from the cross-sectional study at baseline, corresponded closely to the 75th (1.44) and 90th (2.03) percentiles, respectively, of the HOMA-IR reference range derived from the prospective study of subjects with persistent NGT. Conclusions HOMA-IR cut-offs, of 1.4 and 2.0, which discriminated dysglycemia and T2DM respectively from NGT in Southern Chinese, can be usefully employed as references in clinical research involving the assessment of insulin resistance. PMID:27658115

  3. Measuring Waist Circumference in Disabled Adults

    Science.gov (United States)

    Waninge, A.; Ligthart, K. A. M.; Kramer, J.; Hoeve, S.; van der Schans, C. P.; Haisma, H. H.

    2010-01-01

    To date, it is unknown whether waist circumference can be measured validly and reliably when a subject is in a supine position. This issue is relevant when international standards for healthy participants are applied to persons with severe intellectual, sensory, and motor disabilities. Thus, the aims of our study were (1) to determine the validity…

  4. Measuring waist circumference in disabled adults

    NARCIS (Netherlands)

    Waninge, A.; Ligthart, K. A. M.; Kramer, J.; Hoeve, S.; van der Schans, C. P.; Haisma, H. H.

    2010-01-01

    To date, it is unknown whether waist circumference can be measured validly and reliably when a subject is in a supine position. This issue is relevant when international standards for healthy participants are applied to persons with severe intellectual, sensory, and motor disabilities. Thus, the aim

  5. On-line cut-off technique and organic modifier addition aided signal enhancement for trace analysis of carbohydrates in cellulase hydrolysate by ion exclusion chromatography-electrospray ionization mass spectrometry.

    Science.gov (United States)

    Cheng, Cheanyeh; Tsai, Hsiang-Rong; Chang, Kuo-Chung

    2006-06-30

    Paper cellulose has been hydrolyzed with calcium alginate immobilized cellulase to produce carbohydrate products and the three trace sugars, galactose, arabinose, and mannose in the cellulase hydrolysate have been analyzed by HPIEC/ESI-MS. Applying the on-line cut-off technique to the HPIEC/ESI-MS can cut the high concentration glucose off to eliminate its interference on the peaks of minor sugars and enhance their signals from 1.1- to 1.6-fold. However, the on-line post column addition of 15% ethanol to the eluate can increase the signal of the three trace sugars, galactose, arabinose, and mannose up to 17-, 23-, and 11-fold, respectively, and make the corresponding detection limits as 0.04, 0.04, and 0.03 ppm. The accuracies of the quantitative analysis for the three trace sugars with the signal enhanced HPIEC/ESI-MS by the two enhancement methods were larger than 95%. The precisions of the analytical results were also greatly improved by the assistance of the two techniques and were less than 6.5%. The quantitative analysis of the three trace sugars was performed with the internal standard method and the internal standard (IS) was sorbitol. Overall, the signal enhancement of HPIEC/ESI-MS and quantification of the three trace sugars by the on-line cut-off technique and organic modifier addition was successful.

  6. High Voltage Test Power’s Fast Cutting-off Device Based on Infrared%基于红外线的高压试验电源快速切断装置

    Institute of Scientific and Technical Information of China (English)

    胡双双; 周刚; 胡海平; 邱东晓; 金海; 潘克菲

    2015-01-01

    High voltage power system during the test will generate tens of kilovolts or more high-pressure. Therefore,to ensure the safety of persons and equipment is a basic requirement.However,approaches of the traditional use of ropes or fence to seclude the high voltage test area can not protect the safety of personnel and equipment at the root when testing personnel or foreign body mistakenly go in the charged region.This paper presented a program of fast high voltage test power cut-off device based on infrared.It can make audible voice alarm,at the same time quickly cut off high voltage power supply,to ensure the safety of persons and equipment from the source,when testing personnel or foreign objects mistakenly go in the charged region.%提出了一种基于红外线的高压试验电源快速切断的方案,并设计了装置的硬件电路和系统软件。经现场试验,当有人员或异物误入带电区域时,发出声光语音报警的同时快速切断高压电源,从源头上保证人身和设备安全。

  7. Contractility studies on isolated bovine choroidal small arteries: determination of the active and passive wall tension-internal circumference relation.

    Science.gov (United States)

    Delaey, C; Boussery, K; Van de Voorde, J

    2002-09-01

    Studies on isolated choroidal arteries could help to understand the regulatory mechanisms in the choroidal circulation. The aim of the present study was therefore to assess whether contractility studies on isolated choroidal arteries were feasible and to determine the active and passive wall tension-internal circumference relation of these arteries. This relation is essential for reliable further pharmacodynamic studies on these vessels. Isolated choroidal arteries were mounted on a wire myograph for isometric tension recording. After the vessel was mounted, the L(100) (the circumference of the vessel at a transmural pressure of 100 mmHg) was determined. Then the passive and active wall tension-internal circumference relation of the choroidal vessels was obtained by stepwise increasing the internal circumference. The changes in the internal circumference were expressed as a percentage of L(100). After each increase in circumference, the passive tone (in a calcium free medium), the spontaneous tone (in a Krebs--Ringer bicarbonate solution) and the active tone (in a solution containing K(+) 120 mM and prostaglandin F(2 alpha) 30 microM) was measured. The passive tone of the vessel increased exponentially with the circumference of the vessel. Both the spontaneous tone and the active tone also increased when the vessel was stretched. They peaked when the internal circumference approached 90% of the L(100) and diminished again when the circumference was further increased. The peak value of the active tension curve averaged 2.24+/-0.47 Nm(-1) (n=10). The passive tension was 0.57+/-0.08 Nm(-1) (n=10) at this circumference. The peak value of the spontaneous tension curve averaged 0.37+/-0.08 Nm(-1) (n=10). It can be concluded that in vitro contractility studies on isolated choroidal arteries are feasible. The optimal length or preload of the choroidal arteries is attained when the internal circumference of the artery is set to 90% of the L(100).

  8. PDOP values for simulated GPS/Galileo positioning

    DEFF Research Database (Denmark)

    Cederholm, Jens Peter

    2005-01-01

    are estimated at 4140 points aruond the earth. The simulation that is carried out with a 15 degrees cut-off angle is repeated every 10 minutes for 72 hours. The simulation shows that mean PDOP values are improved significantly when using a combined system compared to using only GPS....

  9. Study on Spectral Response beyond Cut off of Cs2Te Ultra Violet Photo Cathode%Cs2Te紫外光电阴极带外光谱响应研究

    Institute of Scientific and Technical Information of China (English)

    李晓峰; 姜云龙; 李靖雯; 姬明; 李金沙; 张勤东

    2015-01-01

    With the strong light as the input, the spectral response beyond cut off of the Cs2Te ultraviolet photo cathode is measured. The results show that the spectral response of the Cs2Te cathode beyond cut off is lower, and is several orders of magnitude lower than that within the cutoff. The peak sensitivity of within cutoff can be greater than 40mA/W, but the spectral response beyond cut off can be as low as 10-3mA/W order of magnitude at 550nm wavelength. The divergence of spectral response beyond cut off of Cs2Te ultraviolet photo cathode made with the same process is large. According to the test of three different visible light photo cathode, namely Na2KSb (Cs), K2CsSb and GaAs (Cs-O), it is proved that these three kinds of visible light photo cathode also have certain spectral response. The test data show that the spectral response beyond cut off is related to the size of the work function (positive electron affinity cathode) or the band gap (negative electron affinity cathode). The smaller the work function or the band gap is, the greater the spectral response beyond cut off. The spectral response beyond cut off is a common phenomenon for photo cathode. The reason is that the effect of multiphoton absorption, i.e. multiphoton effect. Because Cs2Te photo cathodes are present spectral response beyond cut off, thus, when solar blind image intensifier adopting Cs2Te photo cathodes is used in the strong sun light or straight to the sun's light, detected signal would be disturbed by the light of the sun, or by the image of the sun like. Thus solar blind image intensifier does not have the sun blind characteristic. In order to make the solar blind ultraviolet image intensifier fully equipped with solar blind characteristic, solar blind filter is needed. Combining solar blind filter with spectral response of Cs2Te cathode beyond cut off, solar blind image intensifier can achieve complete solar blind. So in the practical application of ultra violet detecting, the solar

  10. Waist circumference as a vital sign in cardiology 20 years after its initial publication in the American Journal of Cardiology.

    Science.gov (United States)

    Després, Jean-Pierre

    2014-07-15

    In 1994, we reported in The American Journal of Cardiology that a simple anthropometric measurement, waist circumference, was related to the amount of abdominal visceral adipose tissue measured by computed tomography. An elevated waist circumference was also found to be associated with several features of the cardiometabolic risk profile such as glucose intolerance, hyperinsulinemia, and an atherogenic dyslipidemic profile that included hypertriglyceridemia and reduced high-density lipoprotein cholesterol levels. Although a linear relation was found between waist circumference and these metabolic alterations, we reported that a waist circumference value of about 100 cm was associated with a high probability of finding diabetogenic and atherogenic abnormalities. The present short report provides a brief update of issues that have been raised regarding the measurement of waist circumference and its clinical use over a period of 20 years since the original publication.

  11. The predictive value of Muller's maneuvre for CPAP titration in OSAHS patients.

    Science.gov (United States)

    Bosi, Marcello; De Vito, Andrea; Vicini, Claudio; Poletti, Venerino

    2013-08-01

    To investigate the role of awake upper airways (UA) endoscopy assessment as a parameter of prediction for CPAP titration in OSAHS patient therapy. Retrospective analysis of UA endoscopic assessment with Mueller's maneuvre and the application of the nose oropharynx hypopharynx score (NOHs) was conducted to obtain a numeric score representing the grade of severity of UA obstruction. Other commonly used predictive parameters for CPAP titration were also included in the study: anthropometric [BMI, neck circumference (NC)] and polysomnographic parameters (AHI, ODI). 3 groups of patients were identified: (1) 67/90 patients requiring intermediate CPAP values, (2) 13/90 patients requiring high CPAP values, and (3) 10/90 patients requiring low pressure values. BMI (p = 0.0013) was the only monitored parameter to show significant statistical value as a CPAP titration predictor. However, higher values of anthropometric parameters (NOHs ≥9, BMI >35, NC >45) showed a sensitivity of 69.2% as a single parameter and 76.9% as combined parameters, and specificity between 66.2 and 72.7% as a single parameter and 43.4% as combined parameters, unequivocally identifying patients requiring high therapeutic CPAP value. A lower cut-off of anthropometric parameters (NOHs ≤6, BMI ≤29, NC <42) showed sensitivity between 40 and 60% as a single parameter and of 90% as combined parameters, and specificity between 68.7 and 80.2% as a single parameter which increased to 93.7% as combined parameters, identifying patients requiring a low therapeutic CPAP value. The results show that anthropometric and polygraphic parameters have no significant independent predictive value for CPAP titration, with the exception of BMI. However, anthropometric parameters showed good levels of sensitivity and specificity in OSAHS patients requiring high or low levels of CPAP therapy.

  12. Circunferência da cintura e índice de massa corporal como preditores da hipertensão arterial Waist circumference and body mass index as predictors of hypertension

    Directory of Open Access Journals (Sweden)

    Maria do Rosário Gondim Peixoto

    2006-10-01

    hypertension was defined as systolic pressure > 140 mmHg, or diastolic pressure > 90 mmHg, or utilization of hypotensive drugs. Multiple logistic regression analysis was used to evaluate the associations between anthropometric indexes and hypertension. The Receiver Operating Characteristic (ROC curve analysis was used to evaluate sensitivity and specificity of BMI (> 30 and level 2 WC as predictive factors of hypertension, and to determine the best predictive cut-off points for hypertension. RESULTS: WC was associated with hypertension in both genders. Level 2 WC and BMI >30 kg/m² showed a low sensitivity in identifying hypertension. The best predictive cut-off points for hypertension coincided with level 1 WC (> 80 cm and with BMI >25 kg/m² (overweight for women, and were lower than the values of level 1 WC and of overweight for men. CONCLUSION: Level 2 WC and BMI > 30 kg/m² are not adequate to identify the groups at the highest risk of hypertension, since this risk rises with small increases in adiposity.

  13. Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children☆

    OpenAIRE

    Magalhães,Elma Izze da Silva; Sant'Ana, Luciana Ferreira da Rocha; Priore, Silvia Eloiza; Sylvia do Carmo Castro FRANCESCHINI

    2014-01-01

    Objective: To analyze studies that assessed the anthropometric parameters waist circumference (WC), waist-to-height ratio (WHR) and neck circumference (NC) as indicators of central obesity in children. Data sources: We searched PubMed and SciELO databases using the combined descriptors: "Waist circumference", "Waist-to-height ratio", "Neck circumference", "Children" and "Abdominal fat" in Portuguese, English and Spanish. Inclusion criteria were original articles with information about the WC,...

  14. PtSi红外探测器截止波长延长研究%Study on Extension of Cut-off Wavelength of PtSi Infrared Detectors

    Institute of Scientific and Technical Information of China (English)

    刘爽; 杨家德; 刘飒; 宁永功; 陈艾

    2001-01-01

    The basic theory of the extension of cut-off wavelength of PtSi infrared detectors is discussed.Three methods are introduced including Tl+ and Ir+ doping, MBE growth of P+layer and B+, In+ low-energy ion-implantation.%讨论了将PtSi红外探测器截止波长延长的理论基础,并介绍了采用在衬底掺入Tl+和Ir+,MBE生长P+层以及低能离子注入B+,In+来延长PtSi红外探测器截止波长的三种方法。

  15. Quantum fields and Poisson processes. Pt. 2. Interaction of boson-boson and boson-fermion fields with a cut-off

    Energy Technology Data Exchange (ETDEWEB)

    Bertrand, J. (Paris-7 Univ., 75 (France). Lab. de Physique Theorique et Mathematique); Gaveau, B.; Rideau, G. (Paris-6 Univ., 75 (France). Dept. de Mathematiques)

    1985-05-01

    Quantum field evolutions are written as expectation values with respect to Poisson processes in two simple models; interaction of two boson fields (with conservation of the number of particles in one field) and interaction of a boson with a fermion field. The introduction of a cutt-off ensures that the expectation values are well-defined.

  16. Neck and waist circumference biomarkers of cardiovascular risk in a cohort of predominantly African-American college students: a preliminary study.

    Science.gov (United States)

    Arnold, Thaddeus J; Schweitzer, Amy; Hoffman, Heather J; Onyewu, Chiatogu; Hurtado, Maria Eugenia; Hoffman, Eric P; Klein, Catherine J

    2014-01-01

    Receiver operating characteristic curves were constructed to assess the value of measuring neck and waist circumference and waist-to-hip ratio (WHR) as biomarkers of metabolic syndrome in college students (18 to 25 years of age). Participants (n=109) were 92% black, 62.4% female, 45.9% overweight or obese, and 20.2% prehypertensive or hypertensive. Overall, 41 (37.6%) students had one or more risk factors for metabolic syndrome. Percent body fat, assessed using whole-body air-displacement plethysmography, was positively correlated (Pwaist circumference (as measured at the midpoint between the right lower rib and suprailiac crest; hereafter "midpoint"). Neck circumference correlated with low-density lipoprotein cholesterol (P ≤ 0.02) and both neck circumference and waist circumference-midpoint correlated with insulin (P ≤ 0.001) and triglycerides (P ≤ 0.002). The best-fit cutoffs were ≥ 83 cm waist circumference-midpoint and ≥ 88 cm waist circumference measured at the suprailiac crest for percent body fat in men and ≥ 75 cm waist circumference-midpoint for metabolic syndrome in women. The proportion of overweight and prehypertensive individuals among self-described healthy students underscores the need for screening tools that identify those who might benefit most from health interventions. Waist circumference-midpoint provides a simple yet sensitive method for the estimation of percent body fat and metabolic syndrome risk in primarily African-American college students. The novel use of neck circumference should be further investigated.

  17. Mid-upper-arm-circumference and mid-upper-arm circumference z-score

    DEFF Research Database (Denmark)

    Rasmussen, J; Andersen, A; Fisker, A B;

    2012-01-01

    Mid-upper-arm circumference (MUAC) is a simple method of assessing nutritional status in children above 6 months of age. In 2007 World Health Organization (WHO) introduced a MUAC z-score for children above 3 months of age. We evaluated whether MUAC or MUAC z-score had the best ability to identify...

  18. Circumference estimation using 3D-whole body scanners and shadow scanner

    NARCIS (Netherlands)

    Daanen, H.A.M.

    1998-01-01

    Clothing designers and manufacturers use traditional body dimensions as their basis. When 3D-whole body scanners are introduced to determine the body dimensions, a conversion has to be made, since scan determined circumference measures are slightly larger than the traditional values. This pilot stud

  19. Waist circumference reference values in Beijing versus the national values in detecting cardiovascular risk factors in 7-18 years old children%北京与全国7~18岁儿童青少年腰围适宜界值对心血管危险因素筛查效度的对比分析

    Institute of Scientific and Technical Information of China (English)

    孟玲慧; 罗纳; 程红; 侯冬青; 赵小元; 米杰

    2011-01-01

    目的 比较北京与全国7~18岁儿童青少年腰围(WC)适宜界值对心血管危险因素的筛查效度和预测价值.方法 采用LMS曲线拟合法拟合北京市21 787名3~18岁儿童青少年WC百分位曲线,以性别、年龄别第75百分位数(P75)及第90百分位数(P90)作为北京市7~18岁儿童青少年WC适宜界值.在4927名7~18岁儿童青少年组成的验证人群中,比较北京和全国7~18岁儿童青少年WC适宜界值对高血压、脂代谢紊乱、糖耐量受损及非酒精性脂肪肝(NAFLD)等心血管危险因素诊断的特异度和灵敏度,通过回归分析比较该2个界值对心血管危险因素的预测价值.结果 北京市3~18岁儿童青少年WC适宜界值分别为:男童:P75为51.8~78.2 cm,P90为54.0~86.0 cm;女童:P75为50.8~72.1 cm,P90为53.3~77.3 cm.北京与全国界值筛查心血管危险因素的灵敏度分别为:高血压:男童分别为0.74和0.82,女童分别为0.68和0.73;低高密度脂蛋白胆固醇:男童分别为0.69和0.80,女童分别为0.64和0.71;NAFLD:男童分别为0.98和1.00,女童均为0.93.北京与全国界值筛查心血管危险因素的特异度分别为:高血压:男童分别为0.62和0.53,女童分别为0.68和0.63;低高密度脂蛋白胆固醇:男童分别为0.59和0.50,女童分别为0.66和0.61;NAFLD:男童分别为0.60和0.50,女童分别为0.56和0.51.北京和全国7~18岁儿童青少年WC的P90适宜界值预测心血管危险因素的OR(95%CI)值分别为:高血压分别为6.3(5.2~7.7)和6.0(4.9~7.4);空腹血糖受损均为1.3(1.1~1.5);脂代谢紊乱均为2.9(2.5~3.4);NAFLD分别为49.1(12.0~201.6)和69.8(9.7~504.2).结论 北京市7~18岁儿童青少年WC适宜界值可提高对心血管危险因素筛查的特异度;除对NAFLD预测价值低于全国界值外,北京界值对其他心血管危险因素的预测价值与全国界值没有明显差别.%Objective To compare the optimal references of waist circumference (WC) between

  20. 体检人群颈围与中心性肥胖的关联性研究%Association Study on Neck Circumference and Central Obesity in Population Receiving Physical Examinations

    Institute of Scientific and Technical Information of China (English)

    朱明范; 陈慧; 王妍; 吴丽萍; 许仰; 曾讯; 朱惠莲

    2011-01-01

    Objective To investigate the relationship between neck circumference (NC) and central obesity. Methods A cross -sectional investigation was conducted. 4 236 subjects receiving physical health examination were divided into four subgroups according to their NC quartiles. The average variations of means of age, height, weight, body mass index (BMI), waist circumference (WC), hip circumferences (HC), and waist -to -hip ratio (WHR) were compared among the subgroups; the relationship of NC with obesity was analyzed between subgroups divided by three obesity standards according to WC, BMI and WHR. And the cut-off value of NC for obesity diagnosis was analyzed with ROC method. Results The NC of male subjects (37.40± 2.46) cm was larger than that of the female (32.46± 2.24) cm (I=47.20, P36.8 cm in men and NC>33.1 cm in women may predict the risk for central obesity.%目的 探讨医院体检人群颈围与中心性肥胖测量指标的关联性.方法 对4 236名体检者进行体格检查,以颈围的均值四分位数分组,对各组年龄、身高、体重、体质指数(BMI)、腰围、臀围、腰臀比等的均值平均变化量进行比较.以腰围、BMI、腰臀比三种肥胖标准进行分组,分析颈围与肥胖的关系.以ROC曲线分析法判断颈围的切点.结果 男性颈围为(37.40± 2.46) cm,女性为(32.46± 2.24) cm,男性大于女性(t=47.20,P<0.01).随着颈围均值每四分位数的增加,男性和女性年龄、身高、体重、BMI、腰围、臀围、腰臀比的平均变化量均呈增加趋势,差异均有统计学意义(P<0.05),其中腰围(男性:5.58 cm,女性:5.26 cm)、体重(男性:6.25 kg,女性:4.81 kg)的平均变化量最大.三种肥胖标准分组中肥胖组的颈围均大于正常组,差异均有统计学意义(P<0.01).对于中心性肥胖,男性颈围的切点是36.8 cm,女性颈围的切点是33.1 cm.结论 颈围与年龄、身高、体重、BMI、腰围、臀围、腰臀比呈正相关关系.颈围与中心性

  1. Decreasing "circumference" for increasing "radius" in axially symmetric gravitating systems

    CERN Document Server

    Lubo, M

    2001-01-01

    Apart from the flat space with an angular deficit, Einstein general relativity possesses another cylindrically symmetric solution. Because this configuration displays circles whose "circumferences" tend to zero when their "radius" go to infinity, it has not received much attention in the past. We propose a geometric interpretation of this feature and find that it implies field boundary conditions different from the ones found in the literature if one considers a source consisting of the scalar and the vector fields of a U(1) system . To obtain a non increasing energy density the gauge symmetry must be unbroken . For the Higgs potential this is achieved only with a vanishing vacuum expectation value but then the solution has a null scalar field. A non trivial scalar behaviour is exhibited for a potential of sixth order. The trajectories of test particles in this geometry are studied, its causal structure discussed. We find that this bosonic background can support a normalizable fermionic condensate but not suc...

  2. Stressful life events in pregnancy and head circumference at birth

    DEFF Research Database (Denmark)

    Obel, Carsten; Hedegaard, Morten; Henriksen, Tine Brink;

    2003-01-01

    pregnancy and head circumference measured shortly after birth following standard procedures. No association was found between experienced or perceived stress as a result of life events during pregnancy and head circumference in the infants. In conclusion, stress in pregnancy may influence foetal brain...... development in many ways, but we found no support for an effect on the size of the brain as measured by head circumference at birth. Udgivelsesdato: 2003-Dec...

  3. Growth standardized values and curves based on weight, length/height and head circumference for Chinese children under 7 years of age%中国七岁以下儿童体重、身长/身高和头围的生长标准值及标准化生长曲线

    Institute of Scientific and Technical Information of China (English)

    首都儿科研究所; 九市儿童体格发育调查协作组

    2009-01-01

    Objective To construct the growth standardized data and curves based on weight, length/height, heed circumference for Chinese children under 7 years of age. Methods Random cluster sampling was used. The fourth national growth survey of children under 7 years in the nine cities(Beijing, Harbin, Xi'an, Shanghai, Nanjing, Wuhan, Fuzhou, Guangzbou and Kunming)of China was performed in 2005 and from this survey, data of 69 760 urban healthy boys and girls were used to set up the database for weight-for-age, height-for-age (length was measured for children under 3 years) and head circumference-for-age. Anthropometric data were ascribed to rigorous methods of data collection and standardized procedures across study sites. LMS method based on BOX-COX normal transformation and cubic splines smoothing technique was chosen for fitting the raw data according to study design and data features, and standardized values of any percentile and standard deviation were obtained by the special formulation of L, M and S parameters. Length-for-age and height-for-age standards were constructed by fitting the same model but the final curves reflected the 0.7 cm average difference between these two measurements. A set of systematic diagnostic tools was used to detect possible biases in estimated percentiles or standard deviation curves, including χ2 test, which was used for reference to evaluate to the goodness of fit. Results The 3rd , 10th , 25th, 50th, 75th, 90th ,97th smoothed percentiles and -3, -2, -1,0, +1, +2, +3 SD values and curves of weight-for-age, length/height-for-age and head circumference-for-age for boys and girls aged 0-7 years were made out respectively. The Chinese child growth charts was slightly higher than the WHO child growth standards. Conclusion The newly established growth charts represented the growth level of healthy and well-nourished Chinese children. The sample size was very large and national, the data were high-quality and the smoothing method was

  4. Effect of Body Mass Index on All-cause Mortality and Incidence of Cardiovascular Diseases - Report for Meta-Analysis of Prospective Studies on Optimal Cut-off Points of Body Mass Index in Chinese Adults

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Objective To verify the optimal cut-off points for overweight and obesity in Chinese adults based on the relationship of baseline body mass index (BMI) to all-cause mortality, and incidence of cardiovascular diseases from pooled data of Chinese cohorts. Methods The prospective study data of existing cohort studies in China were collected, and the age-adjusted all-cause mortality stratified by BMI were estimated. The similar analysis was repeated after excluding deaths within the first three years of follow-up and after excluding smokers. The incidence of age-adjusted coronary heart disease (CHD) and stroke stratified by BMI were also analyzed. Multiple Cox regression coefficients of BMI for the incidence of CHD and stroke after controlling other risk factors were pooled utilizing the methods of weighting by inverse of variance to reveal whether BMI had independent effect and its strength on the incidence of CHD and stroke. Results The data of 4 cohorts including 76 227persons, with 745 346 person-years of follow-up were collected and analyzed. The age-adjusted allcause mortality stratified by BMI showed a U-shaped curve, even after excluding deaths within the first three years of follow-up and excluding smokers. Age-adjusted all-cause mortality increased when BMI was lower than 18.5 and higher than 28. The incidence of CHD and stroke, especially ishemic stroke increased with increasing BMI, this was consistent with parallel increasing of risk factors. Cox regression analysis showed that BMI was an independent risk factor for both CHD and stroke. Each amount of 2 kg/m2 increase in baseline BMI might cause 15.4%, 6.1% and 18.8 % increase in relative risk of CHD, total stroke and ischemic stroke. Reduction of BMI to under 24 might prevent the incidence of CHD by 11% and that of stroke by15 % for men, and 22 % of both diseases for women. Conclusion BMI ≤18.5, 24-27.9 and ≥28 (kg/m2) is the appropriate cut-off points for underweight, overweight and obesity in

  5. Neck circumference, along with other anthropometric indices, has an independent and additional contribution in predicting fatty liver disease.

    Directory of Open Access Journals (Sweden)

    Bi-xia Huang

    Full Text Available Previous studies have indicated that neck circumference is a valuable predictor for obesity and metabolic syndrome, but little evidence is available for fatty liver disease. We examined the association of neck circumference with fatty liver disease and evaluated its predictive value in Chinese adults.This cross-sectional study comprised 4053 participants (1617 women and 2436 men, aged 20-88 recruited from the Health Examination Center in Guangzhou, China between May 2009 and April 2010. Anthropometric measurements were taken, abdominal ultrasonography was conducted and blood biochemical parameters were measured. Covariance, logistic regression and receiver operating characteristic curve analyses were employed.The mean neck circumference was greater in subjects with fatty liver disease than those without the disease in both women and men after adjusting for age (P<0.001. Logistic regression analysis showed that the age-adjusted ORs (95% CI of fatty liver disease for quartile 4 (vs. quartile 1 of neck circumference were 7.70 (4.95-11.99 for women and 12.42 (9.22-16.74 for men. After further adjusting for other anthropometric indices, both individually and combined, the corresponding ORs remained significant (all P-trends<0.05 but were attenuated to 1.94-2.53 for women and 1.45-2.08 for men. An additive interaction existed between neck circumference and the other anthropometric measures (all P<0.05. A high neck circumference value was associated with a much greater prevalence of fatty liver disease in participants with both high and normal BMI, waist circumference and waist-to-hip ratio values.Neck circumference was an independent predictor for fatty liver disease and provided an additional contribution when applied with other anthropometric measures.

  6. Conflicting effects of BMI and waist circumference on iron status.

    Science.gov (United States)

    Choma, Solomon Simon Ramphai; Alberts, Marianne; Modjadji, Sewela Elizabeth Perpetua

    2015-10-01

    The association between obesity and iron status has a long history and is still receiving attention. However comparative analysis of the association between general obesity (BMI) and visceral obesity (waist circumference) with iron status has not been extensively researched. The aim of the present study is thus to determine if body mass index and waist circumference have the same correlation with iron status. One thousand one hundred and thirty people (225 men and 905 women) aged 30 years and above participated in this study. Anthropometric parameters, haemoglobin, iron and total iron binding capacity concentrations were measured using standard methods. Percentage transferrin saturation was calculated and ferritin concentrations were measured using an enzyme linked immunosorbent assay. Obese or overweight women had significantly lower iron and transferrin saturation concentration when compared to non-obese women. In contrast, women with high waist circumference had comparable plasma iron and transferrin saturation to women with normal waist circumference. Partial correlation analysis and linear regression analysis showed that BMI is negatively and significantly associated with plasma iron, transferrin saturation, Hb and ferritin concentration, whilst waist circumference is positively but insignificantly associated with plasma iron, transferrin saturation, Hb and ferritin concentration. Binary regression analysis showed that obese or overweight people are more likely to have iron deficiency, whilst those with raised waist circumference are more likely to have iron overload. Multivariate analysis showed that body mass index is negatively and significantly associated with low iron status, while waist circumference is positively and insignificantly associated with iron status. This is supported by a comparison of plasma iron, transferrin saturation and ferritin concentrations in participants with high body mass index and normal waist circumference and participants with

  7. A CORRELATION BETWEEN HEAD CIRCUMFERENCE AND CHEST, WAIST AND HIP CIRCUMFERENCES IN YOUNG POPULATION OF KERALA

    Directory of Open Access Journals (Sweden)

    Suchitra S

    2015-01-01

    Full Text Available INTRODUCTION: The head and body measurements in human body vary because of differences in anatomical features which may be influenced by environmental or geographical factors. This also brings about differences in their bony structure and fat distribution. OBJECTIVES: The purpose of this study was to find the correlation between the Head circumference and Chest, Waist & Hip circumferences. METHODS: Head, Chest, Waist, and Hip circumferences were taken for 347 subjects. Then the subjects were classified as Total sample, Males and Females. Data was tabulated and statistical analysis (unpaired t test was carried out to find if any statistical significance between Cephalometric and Anthropometric measurements existed. The correlation co - efficient between head measurement and body measurements was determined using Karl Pearson’s formula. RESULTS: Statistically significant difference was observed for all parameters. Statistically significant correlations were observed in Total sample, Males and Females. CONCLUSION: These measurements will serve as a future frame work for comparing the craniofacial dimensions for differentiation of other racial groups. These are also useful in, anthropometric studies, cosmetology, and reconstructive surgery as well as garment industries. This is also an attempt to help a forensic scientist to identify the individual from dismembered and mutilated body parts in forensic examinations.

  8. The PCA3 test for guiding repeat biopsy of prostate cancer and its cut-off score: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Yong Luo

    2014-06-01

    Full Text Available The specificity of prostate-specific antigen (PSA for early intervention in repeat biopsy is unsatisfactory. Prostate cancer antigen 3 (PCA3 may be more accurate in outcome prediction than other methods for the early detection of prostate cancer (PCa. However, the results were inconsistent in repeated biopsies. Therefore, we performed a systematic review and meta-analysis to evaluate the role of PCA3 in outcome prediction. A systematic bibliographic search was conducted for articles published before April 2013, using PubMed, Medline, Web of Science, Embase and other databases from health technology assessment agencies. The quality of the studies was assessed on the basis of QUADAS criteria. Eleven studies of diagnostic tests with moderate to high quality were selected. A meta-analysis was carried out to synthesize the results. The results of the meta-analyses were heterogeneous among studies. We performed a subgroup analysis (with or without inclusion of high-grade prostatic intraepithelial neoplasia (HGPIN and atypical small acinar proliferation (ASAP. Using a PCA3 cutoff of 20 or 35, in the two sub-groups, the global sensitivity values were 0.93 or 0.80 and 0.79 or 0.75, specificities were 0.65 or 0.44 and 0.78 or 0.70, positive likelihood ratios were 1.86 or 1.58 and 2.49 or 1.78, negative likelihood ratios were 0.81 or 0.43 and 0.91 or 0.82 and diagnostic odd ratios (ORs were 5.73 or 3.45 and 7.13 or 4.11, respectively. The areas under the curve (AUCs of the summary receiver operating characteristic curve were 0.85 or 0.72 and 0.81 or 0.69, respectively. PCA3 can be used for repeat biopsy of the prostate to improve accuracy of PCa detection. Unnecessary biopsies can be avoided by using a PCa cutoff score of 20.

  9. The PCA3 test for guiding repeat biopsy of prostate cancer and its cut-off score:a systematic review and meta-analysis

    Institute of Scientific and Technical Information of China (English)

    Yong Luo; Xin Gou; Peng Huang; Chan Mou

    2014-01-01

    The speciifcity of prostate-speciifc antigen (PSA) for early intervention in repeat biopsy is unsatisfactory. Prostate cancer antigen 3 (PCA3) may be more accurate in outcome prediction than other methods for the early detection of prostate cancer (PCa). However, the results were inconsistent in repeated biopsies. Therefore, we performed a systematic review and meta-analysis to evaluate the role of PCA3 in outcome prediction. A systematic bibliographic search was conducted for articles published before April 2013, using PubMed, Medline, Web of Science, Embase and other databases from health technology assessment agencies. The quality of the studies was assessed on the basis of QUADAS criteria. Eleven studies of diagnostic tests with moderate to high quality were selected. A meta-analysis was carried out to synthesize the results. The results of the meta-analyses were heterogeneous among studies. We performed a subgroup analysis (with or without inclusion of high-grade prostatic intraepithelial neoplasia (HGPIN) and atypical small acinar proliferation (ASAP)). Using a PCA3 cutoff of 20 or 35, in the two sub-groups, the global sensitivity values were 0.93 or 0.80 and 0.79 or 0.75, speciifcities were 0.65 or 0.44 and 0.78 or 0.70, positive likelihood ratios were 1.86 or 1.58 and 2.49 or 1.78, negative likelihood ratios were 0.81 or 0.43 and 0.91 or 0.82 and diagnostic odd ratios (ORs) were 5.73 or 3.45 and 7.13 or 4.11, respectively. The areas under the curve (AUCs) of the summary receiver operating characteristic curve were 0.85 or 0.72 and 0.81 or 0.69, respectively. PCA3 can be used for repeat biopsy of the prostate to improve accuracy of PCa detection. Unnecessary biopsies can be avoided by using a PCa cutoff score of 20.

  10. Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women

    DEFF Research Database (Denmark)

    Bigaard, J; Frederiksen, K; Tjønneland, A

    2005-01-01

    OBJECTIVE: Waist circumference is directly related to all-cause mortality when adjusted for body mass index (BMI). Body fat and fat-free body mass, when mutually adjusted, show with increasing values an increasing and decreasing relation to all-cause mortality. We investigated the association...... of waist circumference and body composition (body fat and fat-free mass), mutually adjusted, to all-cause mortality. DESIGN: A Danish prospective cohort study with a median follow-up period of 5.8 y. SUBJECTS: In all, 27 178 men and 29 875 women, born in Denmark, aged 50-64 y, and without diagnosis...... of cancer at the time of invitation. MEASUREMENTS: Waist circumference and body composition estimated from impedance measurements. Cox's regression models were used to estimate the mortality rate ratios (RR). RESULTS: Waist circumference was strongly associated with all-cause mortality after adjustment...

  11. On the comparison of the polarisation behaviour of exchange-biased AF/F NiMn/Fe 37Co 48Hf 15 bi-layer and multi-layer films with increased ferromagnetic cut-off frequencies

    Science.gov (United States)

    Seemann, K.; Leiste, H.; Krüger, K.

    2012-03-01

    Antiferromagnetic/ferromagnetic (AF/F) NiMn/Fe37Co48Hf15 films were investigated with respect to their exchange bias, in-plane unidirectional anisotropy, polarisation and high frequency behaviour. After deposition, carried out by r.f. magnetron sputtering, the films were post-annealed for 4 h at 300 °C in a static magnetic field, in order to induce exchange-bias, which results in a unidirectional anisotropy. Dependent on the presence of a bi-layer or multi-layer sandwich structure the films show a different exchange-bias field-ferromagnetic inter-layer thickness behaviour with exchange-bias fields μ0*Heb between 2 and 10 mT. The in-plane uniaxial (single film) or unidirectional anisotropy fields μ0*HUF were between 4 and 18 mT. This results in a significant increase of the cut-off frequency in the GHz range in comparison to a single Fe37Co48Hf15 film, which is shown by frequency-dependent permeability plots. High damping in the imaginary part of the permeability, i.e., high resonance line broadening could be observed for films with high coercivity μ0*Hc of around 7 mT in the easy axis of magnetisation.

  12. Extracorporeal light chain elimination: high cut-off (HCO) hemodialysis parallel to chemotherapy allows for a high proportion of renal recovery in multiple myeloma patients with dialysis-dependent acute kidney injury.

    Science.gov (United States)

    Heyne, Nils; Denecke, Barbara; Guthoff, Martina; Oehrlein, Katharina; Kanz, Lothar; Häring, Hans-Ulrich; Weisel, Katja C

    2012-05-01

    Acute kidney injury (AKI) is frequent in multiple myeloma (MM) patients and strongly affects prognosis, with particularly poor outcomes in patients requiring hemodialysis. Introduction of the novel therapeutic agents to MM therapy has improved myeloma response and renal outcome. This case series reviews the efficacy of combined systemic and extracorporeal therapy to further optimize time to light chain (serum-free light chain (sFLC)) reduction and renal recovery in MM patients with dialysis-dependent AKI (n = 19). High cut-off (HCO) hemodialysis for extracorporeal sFLC removal was initiated in parallel to chemotherapy. Combined therapy resulted in early sFLC response after a median of 13 (range 4-48) days and 6 (3-22) HCO hemodialysis sessions. Time to sFLC response was shorter in patients recovering renal function. Median time to dialysis independence was 15 (4-64) days. By intent-to-treat analysis, sustained renal recovery was achieved in 73.7% (77.8% adjusted for death) of patients. In multivariate analysis, duration of AKI prior to initiation of therapy was an independent predictor of renal functional outcome. Combining HCO hemodialysis for extracorporeal sFLC elimination and effective chemotherapy is a novel treatment strategy allowing for early and sustained sFLC reduction and a high proportion of renal recovery in these patients. Timely diagnosis and onset of therapy is essential for improving renal outcome.

  13. Circumference character of adults of Barag Mongolian❋%巴尔虎蒙古族成人围度特征

    Institute of Scientific and Technical Information of China (English)

    张君瑞; 李咏兰; 郑连斌; 李鹏飞; 冯晨露

    2015-01-01

    目的::研究巴尔虎蒙古族的围度特征。方法:对内蒙古自治区呼伦贝尔市新巴尔虎左旗巴尔虎蒙古族400例(男性196例,女性204例)成人进行了身体围度的测量。对年龄组间围度值进行方差分析,对年龄与围度进行相关分析。与我国其他18个族群的围度值进行 u 检验与聚类分析。结果:男性腰围、腹围年龄组间的差异具有统计学意义;女性除头围外的12项围度值在不同年龄组间差异均有统计学意义。女性围度值各年龄组间的差异比男性更加明显。直线相关分析,男性呼气围、腰围、腹围和臀围均与年龄呈正相关,女性颈围、躯干各部分围度和上肢围度均与年龄呈正相关。巴尔虎蒙古族在19个族群中头围、胸围、腹围、臀围、大腿围和小腿围6项围度值均处于较高水平。聚类分析显示,巴尔虎蒙古族男性围度值与我国俄罗斯族、塔塔尔族距离最近,女性与俄罗斯族、布里亚特人、塔塔尔族等最近。结论:巴尔虎蒙古族身体围度值较大,具有北亚类型族群的围度特征。%Obj ective:To study the circumference character of adults of Barag Mongolians.Methods :Based on the measurement of the circumferences of 400 adults (1 9 6 male,204 female)of Barags nationality from Hulunbeier,the circumference values were analyzed between age groups and circumference for age and correlation analysis.Meanwhile u test and cluster analys is of the circumference values of Barags adults with other 1 8 nationalities were performed.Results :ANOVA results showed that there were significant differences between the waist and abdominal circumference of male and female 1 2 circumference (exception of the head circumference)among age groups.Linear correlation analysis showed that breath circumference,waist circumference, abdominal circumference and hip circumference of males were positively correlated with age,female neck,torso and

  14. Fetal Biometry of Head Circumference for Malaysian Pregnant Women

    Science.gov (United States)

    Ramli, Remsen Maizan; Jaafar, M. S.; Ismail, N. E.; Saltani, Hend A. A.; Ahmad, A. L.; Bermakai, M. Yahaya

    2010-07-01

    The purpose of this research is to study the fetal head circumference (HC) biometry for local population. Retrospective study was selected, done at Hospital Pulau Pinang and 5551 files of pregnant women were collected. The HC mean values of this study (HCmean) was compared with other published studies to see whether there was any difference between the various populations in the world. Comparison of means, regression analysis and paired sample t-test in SPSS software version 11.5 were used in the analysis. A total of 9874 HC data (mm) were recorded for gestational age (GA) of 12 to 41 weeks. The HC growth rate in second trimester (11.32 mm/week) has decreased to nearly half than in third trimester (5.53 mm/week). The HCmean was found to be highly significant difference (SD) than other 9 studies and only lower than HC values of USA, UK and Zimbabwe populations. The HC values of German show close similarity with HCmean. From 45 comparisons done, more than three-quarter of the comparisons resulted as SD (37) compared to insignificant differences (8). Consequently, each country should have their own standard HC of fetus biometry of the various gestations for their own population.

  15. Accuracy of Neck Circumference in Classifying Overweight and Obese US Children.

    Science.gov (United States)

    Kim, Youngwon; Lee, Jung-Min; Laurson, Kelly; Bai, Yang; Gaesser, Glenn A; Welk, Gregory J

    2014-01-01

    Objective. To evaluate classification accuracy of NC and compare it with body mass index (BMI) in identifying overweight/obese US children. Methods. Data were collected from 92 children (boys: 61) aged 7 to 13 over a 2-year period. NC, BMI, and percent of body fat (BF%) were measured in each child and their corresponding cut-off values were applied to classify the children as being overweight/obese. Classification accuracy of NC and BMI was systematically investigated for boys and girls in relation to true overweight/obesity categorization as assessed with a criterion measure of BF% (i.e., Bod Pod). Results. For boys, Cohen's κ (0.25), sensitivity (38.1%), and specificity (85.0%) of NC were smaller in comparison with Cohen's κ (0.57), sensitivity (57.1%), and specificity (95.0%) of BMI in relation to BF% categorization. For girls, Cohen's κ (0.45), sensitivity (50.0%), and specificity (91.3%) of NC were smaller in comparison with Cohen's κ (0.52), sensitivity (50.0%), and specificity (95.7%) of BMI. Conclusion. NC measurement was not better than BMI in classifying childhood overweight/obesity and, for boys, NC was inferior to BMI. Pediatricians and/or pediatric researchers should be cautious or wary about incorporating NC measurements in their pediatric care and/or research.

  16. A comparison of the clinical usefulness of neck circumference and waist circumference in individuals with severe obesity.

    Science.gov (United States)

    Assyov, Yavor; Gateva, Antoaneta; Tsakova, Adelina; Kamenov, Zdravko

    2017-02-01

    Purpose/Aim: Neck circumference (NC) is an emerging anthropometric parameter that has been proposed to reflect metabolic health. The aim of the current study was to compare its clinical usefulness to waist circumference (WC) in the assessment of individuals with severe obesity.

  17. Cutting off Mediation. Agamben as Master Thinker

    Directory of Open Access Journals (Sweden)

    Astrid Deuber-Mankowsky

    2015-02-01

    Full Text Available Agamben’s Homo Sacer turns centrally upon “bare life”. However, the following subjects are not thematized: natality, gender, sexuality, the relation of the sexes, the heterosexual character of the symbolic order and political culture, the interest of women in the reproduction of life. The entire question of sexual difference —like that of the difference between victim and perpetrator, between witnesses and those born afterwards— is banned from Agamben’s horizon. Thus a deep unease remains, which this paper is intended to explore. It will first present the methodological and theoretical inspirations, which Homo Sacer owes to the thought of Carl Schmitt. Secondly it will show that Schmitt’s concepts of nomos and the state of exception cannot provide a suitable basis for rewriting Foucault’s concept of biopolitics.

  18. Screening value of neck circumference for obstructive sleep apnea in patients with atrial fibrillation%颈围在心房颤动患者合并阻塞性睡眠呼吸暂停初筛中的意义

    Institute of Scientific and Technical Information of China (English)

    汤日波; 史力生; 何华; 刘双; 马长生; 丁少芳; 王丽; 刘红艳; 董建增; 刘兴鹏; 刘小慧

    2009-01-01

    Objective To investigate the screening value of neck circumference(NC)and adjusted neck circumference(ANC)for obstructive sleep apnea(OSA)in patients with atrial fibrillation(AF).Methods NC and ANC were measured in 50 patients with AF who underwent polysomnography.ANC=NC+4.0 cm(if hypertension exists)+3.0 am(if habitual snore exists)+3.0 cm(if choke or gasp exists at most night).Correlation analysis and receiver operating characteristic curve(ROC)were performed to evaluate the accuracy of NC and ANC for screening OSA.Results 36 patients had OSA by polysomnography.The NC and ANC were significantly higher in the OSA group than in the no-OSA group,with the mean value of 42.3±3.3 cm VS 39.9±2.6 cm (t=2.411,P=0.020)and 49.6±4.4 cm VS 45.2±4.5 cm(t=3.168,P=0.003),respectively.NC and ANC were correlated to the severity of OSA with the r valaes of 0.566(P<0.01)and 0.629(P<0.01),respectively.There was no significant difference between the area under the ROC of NC and ANC(0.729 VS 0.746,P=0.545).At a cutoff point of 41.2 cm and 47.0 cm,the sensitivity,specificity of NC for diagnosis of OSA were 74.3%,71.4% and 71.4%.71.4%respectively.Conclusion Both NC and ANC are simple and valid indices for screening OSA in patients with AF.%目的 探讨颈围、校正颈围筛查心房颤动(房颤)患者合并阻塞性睡眠呼吸暂停(OSA)的准确性.方法 入选行睡眠呼吸监测的房颤患者50例,测量颈围,计算校正颈围[校正颈围(cm)=实际颈围(cm)+4.0 cm(如果患者有高血压)+3.0 cm(如果患者有习惯性打鼾)+3.0 cm(如果患者夜间睡眠有憋气/窒息)].颈围、校正颈围与OSA严重程度行相关分析,通过受试者工作特征曲线评价颈围、校正颈围诊断OSA的正确性.以睡眠呼吸监测为金标准确定颈围、校正颈围诊断OSA的敏感性和特异性.结果 36例(72%)房颤患者有OSA,OSA组颈围显著大于非OSA组[(42.3±3.3)cm与(39.9±2.6)cm,t=2.411,P=0.020],OSA组校正颈围与非OSA组

  19. Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference?

    DEFF Research Database (Denmark)

    Ross, R; Berentzen, T; Bradshaw, A J

    2008-01-01

    There is currently no consensus regarding the optimal protocol for measurement of waist circumference (WC), and no scientific rationale is provided for any of the WC protocols recommended by leading health authorities. A panel of experts conducted a systematic review of 120 studies (236 samples...... WC protocols performed measurement at the minimal waist (33%), midpoint (26%) and umbilicus (27%). Non-significant associations were reported for 27% (64) of the samples. Most of these protocols measured WC at the midpoint (36%), umbilicus (28%) or minimal waist (25%). Significant associations were...

  20. Congenital Hypothyroidism: An Audit and Study of Different Cord Blood Screening TSH Values in a Tertiary Medical Centre in Malaysia

    Directory of Open Access Journals (Sweden)

    Sze Lyn Jeanne Wong

    2015-01-01

    Full Text Available Mothers are often discharged within 24 hours in most Asian countries. Therefore, our screening programs for congenital hypothyroidism (CH must consider the value of cord blood TSH. Our objectives were to compare the incidence of CH, positive predictive values, and recall rates using different cord blood TSH values. We also reviewed the results of the second-screening program for premature babies. 99.7% (n=25,757 of all newborns were screened from 1st January 2009 to 31st December 2013. Babies with cord blood TSH > 25 mIU/L or 20–25 mIU/L and FT430 mIU/L and six had values 25.1–30 mIU/L. Lowering the recall cut-off value to 20 mIU/L would double the recall rate from 0.63% (n=163 to 1.3% (n=340 with no additional cases detected, whereas using 30 mIU/L would have missed 35% of cases. The incidence of CH was similar, 1:1515, when using either cut-off 20 mIU/L or cut-off 25 mIU/L but lower, 1:2380, when using 30 mIU/L. We recommend the screening cord blood TSH cut-off should be 25 mIU/L and screening for premature babies should be continued.

  1. Waist circumference as a predictor for blood glucose levels in adults

    Directory of Open Access Journals (Sweden)

    Shinta L Hardiman

    2016-02-01

    Full Text Available Anthropometric indexes such as body mass index (BMI, waist circumference (WC, hip ciucumference (HC, and waist–hip ratio (WHR, are all useful anthropometric measurements to provide important information on blood glucose concentrations. The aim of this study was to determine different anthropometric measurements, in particular BMI, waist circumference, hip circumference and waist-to-hip ratio, in their ability to predict the blood glucose levels in men and women 40 to 60. A cross-sectional study was conducted on a sample of 44 men and 127 women aged 40 to 50 who lived in Cipete Selatan subdistrict, South Jakarta. Blood glucose levels was assessed and anthropometric measurements comprising BMI, WC, HC, WHR were collected. Multiple linear regression analysis was used to determine the best predictor for blood glucose levels. The study showed that the prevalence of DM type 2 was 25.7% and the prevalence was higher in men (40.9% compared to women (23.5%. The significant predictive variables in the simple regression analysis were age and waist circumference. Multiple linear regression showed that after adjustment for age, WC was positively associated with blood glucose levels. Standardized a value was 0.172 (p=0.026. WC predict blood glucose levels, beyond that explained by traditional diabetic risk factors and BMI. These findings provide support for the recommendation that WC be a routine measure for identification of diabetes mellitus type 2 in men and women aged 40 to 60 years.

  2. Abdominal circumference contributes to absence of wasting in Brazilian children.

    Science.gov (United States)

    César, J A; Victora, C G; Morris, S S; Post, C A

    1996-11-01

    A number of population groups in Latin America show high prevalences of stunting (low height-for-age) despite very low rates of wasting (weight-for-height deficits). One possible explanation for this phenomenon is an increase in abdominal circumference, which would affect children's weights but not their heights. This study was designed to describe the abdominal circumferences of a group of poor children from Northeast Brazil, and to relate these to their weight-for-weight z-score. Children (n = 252) participating in a government growth monitoring program were studied. The prevalence of stunting (below -2 SD) was 26.2%, but only 1.2% were wasted. Abdominal circumferences increased with age up to 36 mo, followed by a slight decline after 48 mo. Abdominal circumference was the anthropometric measurement most closely associated with weight-for-height, with a coefficient of determination of 41%. Even after adjusting for arm circumference, abdominal circumference continued to explain 16% of the variation in weight-for-height. Despite slight differences in measurement techniques, the study children had consistently larger abdominal girths than a sample of North American children. These findings must be verified by replication but highlight a possible contribution of abdominal circumference in the determination of levels of wasting.

  3. Fetal weight estimation by ultrasonic measurement of abdominal circumference.

    Science.gov (United States)

    Kearney, K; Vigneron, N; Frischman, P; Johnson, J W

    1978-02-01

    The purpose of this study was to compare ultrasonic measurements of fetal abdominal circumference to ultrasonic measurements of fetal biparietal diameter, as a means of estimating fetal body weight. Of 58 fetuses who had abdominal circumferences measured, 48 (82%) of the predicted weights were within 15% of the actual birth weights. Forty-four of the same 58 fetuses had satisfactory biparietal diameter measurements, but only 21 (48%) of the predicted weights were within 15% of the actual birthweights. Ultrasonic measurement of abdominal circumference appears to be a more reliable index of fetal body weight than other currently available techniques.

  4. Selection of the open pit mining cut-off grade strategy under price uncertainty using a risk based multi-criteria ranking system / Wybór strategii określania warunku opłacalności wydobycia w kopalniach odkrywkowych w warunkach niepewności cen w oparciu o wielokryterialny system rankingowy z uwzględnieniem czynników ryzyka

    Science.gov (United States)

    Azimi, Yousue; Osanloo, Montza; Esfahanipour, Akbar

    2012-12-01

    Cut-off Grade Strategy (COGS) is a concept that directly influences the financial, technical, economic, environmental, and legal issues in relation to exploitation of a mineral resource. A decision making system is proposed to select the best technically feasible COGS under price uncertainty. In the proposed system both the conventional discounted cash flow and modern simulation based real option valuations are used to evaluate the alternative strategies. Then the conventional expected value criterion and a multiple criteria ranking system were used to rank the strategies based on the two valuation methods. In the multiple criteria ranking system besides the expected value other stochastic orders expressing abilities of strategies in producing extra profits, minimizing losses and achieving the predefined goals of the exploitation strategy are considered. Finally, the best strategy is selected based on the overall average rank of strategies through all ranking systems. The proposed system was examined using the data of Sungun Copper Mine. To assess the merits of the alternatives better, ranking process was done at both high (prevailing economic condition) and low price conditions. Ranking results revealed that at different price conditions and valuation methods, different results would be obtained. It is concluded that these differences are due to the different behavior of the embedded option to close the mine early, which is more likely to be exercised under low price condition rather than high price condition. The proposed system would enhance the quality of decision making process by providing a more informative and certain platform for project evaluation.

  5. The role of neck circumference on the risk assessment of nonalcoholic fatty liver disease%颈围对非酒精性脂肪肝病风险评估的作用分析

    Institute of Scientific and Technical Information of China (English)

    侯丽丽; 张宝; 管石侠; 程靖; 蒋建华

    2015-01-01

    according to their NC quartiles. Prevalence of NAFLD and the ratio of abnormal metabolism component were compared. And the cut-off value of NC for NAFLD diagnosis was analyzed with ROC method. Results Compared with the control group,body mass index, waist cir-cle,waist hip ratio, NC, NC height ratio, blood pressure,blood glucose, fasting insulin,HOMA-IR, triglyceride, low density lipoprotein-cholesterol and very low density lipoprotein-cholesterol were significantly increased in study group while high density lipoprotein-cholesterolwas reduced obviously ( P<0. 05 ) . Correlation between NC and IR was close in study group and more in female patients. Prevalence of NAFLD and the ratio of abnormal metabolism component rose with the increase of NC quartiles. For the people with NAFLD, the cut-off value of NC was 37. 4 cm for male and 34. 0 cm for female. Conclusion NC is related to NAFLD. But whether it can predict the risk for NAFLD needs the support of more sample size and clinical verification.

  6. 热阻可调式断桥复合保温砌块的研制%Development of a bridge-cut-off composite insulation block with the adjustable thermal resistance feature

    Institute of Scientific and Technical Information of China (English)

    胡永权; 任增茂; 罗天祥; 陈延军

    2015-01-01

    This paper introduces a bridge-cut-off composite insulation block with the adjustable thermal resistance feature,which structure is constituted by a new force block and insulating material.Regulating the proportion size of the insulation material and air interlayer on the basis of constant force main structure,the block can meet the demand of the wall thermal performance in different climatic regions with an economical way, and the performance price ratio of the block enhances at the same time.The block can use many kinds of waste in its production,e.g.,fly ash,construction waste.It has many advantages,such as environmental protection,energy conservation,fire preventing and so on,which can be generalized in nationwide.%介绍了一种热阻可调式断桥复合保温砌块,该砌块采用新型受力块体与绝热材料复合构造,在受力主体结构不变的基础上,可以通过调节绝热材料和空气间层配合尺寸,以最经济的方式满足不同气候环境区域对墙体热工性能的要求,增强了复合保温砌块节能性价比。该砌块在生产过程中可以利用粉煤灰、建筑垃圾等多种废弃物,具有经济、环保、节能和防火性能好等特点,适合在全国范围内推广应用。

  7. 电励磁同步电动机转矩角截止负反馈闭环控制%Torque-Angle Cut-Off Negative Feedback Closed-Loop Control Strategy of Electrical Excited Synchronous Motor

    Institute of Scientific and Technical Information of China (English)

    谢慕君; 步伟明; 冯敬芳; 王志乾

    2013-01-01

    针对电励磁同步电动机负载变化易失步的问题,通过对转矩角特性分析,提出了一种基于转矩角截止负反馈的控制策略。阐述了利用转矩角控制防止失步的原理,建立了基于同步电动机磁链观测的转矩角数学模型,并设计了转矩角外环、励磁电流内环的双闭环控制系统。仿真结果表明,该控制策略与常规控制相比,适应负载变化的能力显著提高,有效抑制了电机的失步,为电机的稳定控制开辟了新途径。%Aiming at the problem that the electrical synchronous excited motor will be out of step with the load changes, this paper raised a control strategy based on torque-angle cut-off feedback via the analysis of torque-angle characteristics. Discussion was made to the principle using torque-angle control to prevent out-of-step. The mathematical model of torque-angle was constructed based on the flux linkage observation of synchronous motors and the double closed-loop control system for the outer loop adopting torque-angle and the inner loop adopting field current were designed. The simulation results show that compared with conventional control, this control strategy obviously met the requirements of load changes, effectively restraining out-of-step of motors, which opens up a new way for stable control of motors.

  8. The IgG avidity value for the prediction of Toxoplasma gondii infection in the amniotic fluid.

    Science.gov (United States)

    Tanimura, Kenji; Nishikawa, Akira; Tairaku, Shinya; Shinozaki, Nanae; Deguchi, Masashi; Morizane, Mayumi; Ebina, Yasuhiko; Morioka, Ichiro; Yamada, Hideto

    2015-09-01

    Primary Toxoplasma gondii (T. gondii) infection during pregnancy may lead to congenital toxoplasmosis. Maternal screening using T. gondii IgG avidity measurement and multiplex nested PCR was performed. The aim of this prospective cohort study was to determine a cut-off value of IgG avidity index (AI) for the prediction of the presence of T. gondii DNA in the amniotic fluid. One hundred thirty-nine women with positive or equivocal tests for IgM underwent both serum IgG avidity measurement and PCR analysis for the amniotic fluid. Nine had positive PCR results, and three of them were diagnosed as having congenital infection. A cut-off value of IgG AI was determined using receiver operating characteristic analysis. IgG AI (mean 13%) in women with positive PCR results was significantly lower than that (39%) in women with negative results. A cut-off value of amniotic fluid. None of women with IgG AI of ≥30% had a positive PCR result or congenital infection. This study firstly demonstrated that a cut-off value of 25-30% IgG AI might be useful for the prediction of the presence of T. gondii DNA in the amniotic fluid and congenital infection.

  9. Prediction of Abdominal Visceral Obesity From Body Mass Index,Waist Circumference and Waist-hip Ratio in Chinese Adults:Receiver Operating Characteristic Curves Analysis

    Institute of Scientific and Technical Information of China (English)

    WEI-PING JIA; JUN-XI LU; KUN-SAN XIANG; YU-QIAN BAO; HUI-JUAN LU; LEI CHEN

    2003-01-01

    To evaluate the sensitivity and specificity of body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) measurements in diagnosing abdominal visceral obesity. Methods BMI, WC, and WHR were assessed in 690 Chinese adults (305 men and 385women) and compared with magnetic resonance imaging (MRI) measurements of abdominal visceral adipose tissue (VA). Receiver operating characteristic (ROC) curves were generated and used to determine the threshold point for each anthropometric parameter. Results 1) MRI showed that 61.7% of overweight/obese individuals (BMI≥25 kg/m2) and 14.2% of normal weight (BMI<25kg/m2) individuals had abdominal visceral obesity (VA≥ 100 cm2). 2) VA was positively correlated with each anthropometric variable, of which WC showed the highest correlation (r=0.73-0.77,P<0.001 ). 3) The best cut-off points for assessing abdominal visceral obesity were as followed: BMI of 26 kg/m2, WC of 90 cm, and WHR of 0.93, with WC being the most sensitive and specific factor. 4)Among subjects with BMI≥28 kg/m2 or WC≥95 cm, 95% of men and 90% of women appeared to have abdominal visceral obesity. Conclusion Measurements of BMI, WC, and WHR can be used in the prediction of abdominal visceral obesity, of which WC was the one with better accuracy.

  10. Association of neck circumference with general and abdominal obesity in children and adolescents: the weight disorders survey of the CASPIAN-IV study

    Science.gov (United States)

    Kelishadi, Roya; Djalalinia, Shirin; Motlagh, Mohammad Esmaiel; Rahimi, Ali; Bahreynian, Maryam; Arefirad, Tahereh; Ardalan, Gelayol; Safiri, Saeid; Hasani, Motahare; Asayesh, Hamid; Mansourian, Morteza; Qorbani, Mostafa

    2016-01-01

    Objectives This study aimed to evaluate the association of neck circumference (NC) with obesity to determine the sex-specific and age-specific optimal cut-off points of this measure in association with obesity in a national sample of the Iranian paediatric population. Methods This survey on weight disorders was conducted among a national sample of Iranian children and adolescents, aged 6–18 years. Using the area under the curve (AUC) of the receiver operator characteristic curves, we evaluated the association of NC with general and abdominal obesity. Results This national survey was conducted among 23 043 school students (50.8% boys) with a mean age (SD) of 12.55 (3.31) years. A significant association was documented between NC and other anthropometric measures in both sexes and in the whole population. In all age groups and genders, NC performed relatively well in classifying participants to overweight (AUC: 0.67 to 0.75, p<0.001), general obesity (AUC: 0.81 to 0.85, p<0.001) and abdominal obesity (AUC: 0.73 to 0.78, p<0.001). Conclusions NC can be considered as a simple time-saving clinical tool for obesity detection in large population-based studies in children and adolescents. It is significantly correlated with indices of adiposity and can reliably identify children with general and abdominal obesity in the Iranian paediatric population. PMID:27694487

  11. Thigh circumference and risk of heart disease and premature death

    DEFF Research Database (Denmark)

    Heitmann, Berit L; Frederiksen, Peder

    2009-01-01

    in Denmark. PARTICIPANTS: 1436 men and 1380 women participating in the Danish MONICA project, examined in 1987-8 for height, weight, and thigh, hip, and waist circumference, and body composition by impedance. MAIN OUTCOME MEASURES: 10 year incidence of cardiovascular and coronary heart disease and 12.5 years......OBJECTIVE: To examine associations between thigh circumference and incident cardiovascular disease and coronary heart disease and total mortality. DESIGN: Prospective observational cohort study with Cox proportional hazards model and restricted cubic splines. SETTING: Random subset of adults...... of follow-up for total death. RESULTS: A small thigh circumference was associated with an increased risk of cardiovascular and coronary heart diseases and total mortality in both men and women. A threshold effect for thigh circumference was evident, with greatly increased risk of premature death below...

  12. Dietary predictors of 5-year changes in waist circumference

    DEFF Research Database (Denmark)

    Halkjaer, Jytte; Tjønneland, Anne; Overvad, Kim

    2009-01-01

    the association between intake from 21 food and beverage groups and the subsequent 5-year difference in waist circumference. METHODS: The study population consisted of 22,570 women and 20,126 men, aged 50 to 64 years at baseline, with complete data on baseline and follow-up waist circumference, baseline diet (192...... items food frequency questionnaire), body mass index, and selected potential confounders (eg, smoking status, sport activities, and intake of alcoholic beverages). Multiple linear regression analyses were performed. RESULTS: For women, 5-year difference in waist circumference was inversely related...... to intake from red meat, vegetables, fruit, butter, and high-fat dairy products, whereas intake from potatoes, processed meat, poultry, and snack foods was positively associated. For men, red meat and fruit intakes were inversely associated with 5-year difference in waist circumference, whereas snack foods...

  13. The Predictive Value and Cut-off Points of Anti-Müllerian Hormone on Ovarian Responses%抗苗勒管激素预测卵巢反应性的价值研究

    Institute of Scientific and Technical Information of China (English)

    谭嘉琦; 陈晓莉; 李予; 张清学; 王文军; 杨冬梓

    2015-01-01

    目的:评价抗苗勒管激素(AMH)对卵巢反应性的预测价值.方法:以1489例行体外受精-胚胎移植(IVF-ET)治疗的不孕患者作为研究对象,分别以获卵数≤3个和>20个界定卵巢低和高反应,比较AMH和其他卵巢储备评估指标预测卵巢反应性时的受试者工作特征曲线面积(ROCAUC).结果:预测卵巢低反应或高反应时,AMH和窦卵泡计数(AFC)的ROCAUC均相当(分别为0.867和0.860,P=0.319;0.772和0.753,P=0.287),且明显大于年龄、基础卵泡刺激素(FSH)和基础雌二醇(E2)的ROCAUC(分别为0.685、0.723和0.600,P均<0.001;0.679、0.650和0.501,P均<0.001).AMH≤8.5 pmol/L或AFC≤9时可较好地预测卵巢低反应,而AMH> 29.77 pmol/L或AFC> 16时则可较好地预测卵巢高反应.结论:AMH独立预测卵巢反应性的价值与AFC相当,二者均明显优于年龄、基础FSH和基础E2.

  14. Waist and hip circumferences and all-cause mortality

    DEFF Research Database (Denmark)

    Bigaard, J; Frederiksen, K; Tjønneland, A

    2004-01-01

    OBJECTIVE: To investigate whether waist and hip circumferences, in addition to body mass index (BMI), are related to all-cause mortality. We studied these associations and tested the usefulness of the waist-to-hip ratio for mortality prediction. DESIGN: A Danish prospective cohort study with data...... collected between 1993 and 1997. SUBJECTS: A total of 27 179 men and 29 875 women born in Denmark and aged 50-64 years were followed for a median of 6.8 years. MEASUREMENTS: BMI, waist and hip circumferences at baseline. RESULTS: The associations between hip circumference and all-cause mortality were...... inverse for both men and women, but only after adjustment for waist circumference, or BMI, or both. The mortality rate ratios of mutually adjusted waist and hip circumferences were 0.63 (95% CI: 0.56, 0.71), and 0.70 (95% CI: 0.63, 0.79) times higher per 10% larger hip circumference in men and women...

  15. Change in neck circumference after shoulder arthroscopy: An observational study

    Directory of Open Access Journals (Sweden)

    Shrividya Chellam

    2015-01-01

    Full Text Available Background and Aims: Shoulder arthroscopy requires fluid irrigation, which causes soft-tissue oedema around chest, neck, and arm intraoperatively, leading to postoperative airway complications. We decided to study the incidence of increase in the neck circumference in shoulder arthroscopy and its effects on the airway. Methods: We studied 32 cases of shoulder arthroscopies over a period of 1-year, performed under general anaesthesia with interscalene block. The neck circumference of patients before and after the procedure was measured along with other parameters. The endotracheal tube cuff was deflated at the end of surgery to determine air leak around the tube. The negative leak test suggested airway oedema. Results: Thirty out of 32 patients showed positive air leak test. The average change in neck circumference was 1.17 ± 1.16 cm and all could be extubated uneventfully. Two showed negative leak test with an increase in neck circumference by 4.5 and 6.4 cm and were not extubated. Multiple regression analysis for risk factors showed intraoperative hypertension as a single predictor for an increase in neck circumference. Conclusion: Change in the neck circumference beyond 4 cm may suggest airway compromise and below 4 cm, airway compromise is unlikely even in the presence of extensive soft-tissue oedema around the shoulder, upper arm and chest.

  16. Change in waist circumference over 11 years and current waist circumference independently predict elevated CRP in Filipino women

    OpenAIRE

    Rutherford, J.N.; McDade, T.W.; Lee, N. R.; Adair, L; Kuzawa, C.

    2010-01-01

    C-reactive protein, a marker of chronic, low-grade inflammation, is strongly associated with current central adiposity, and has been linked to elevated risk of cardiovascular disease. Less is known about the contribution of longitudinal change in waist circumference to current inflammation. We evaluated the extent to which current waist circumference and change over an 11-year interval contribute independently to low-grade systemic inflammation measured in a group of 1,294 women, 35–69 years,...

  17. Body circumferences: clinical implications emerging from a new geometric model

    Directory of Open Access Journals (Sweden)

    Gallagher Dympna

    2008-10-01

    Full Text Available Abstract Background Body volume expands with the positive energy balance associated with the development of adult human obesity and this "growth" is captured by two widely used clinical metrics, waist circumference and body mass index (BMI. Empirical correlations between circumferences, BMI, and related body compartments are frequently reported but fail to provide an important common conceptual foundation that can be related to key clinical observations. A two-phase program was designed to fill this important gap: a geometric model linking body volume with circumferences and BMI was developed and validated in cross-sectional cohorts; and the model was applied to the evaluation of longitudinally monitored subjects during periods of voluntary weight loss. Concepts emerging from the developed model were then used to examine the relations between the evaluated clinical measures and body composition. Methods Two groups of healthy adults (n = 494 and 1499 were included in the cross-sectional model development/testing phase and subjects in two previous weight loss studies were included in the longitudinal model evaluation phase. Five circumferences (arm, waist, hip, thigh, and calf; average of sum, C, height (H, BMI, body volume (V; underwater weighing, and the volumes of major body compartments (whole-body magnetic resonance imaging were measured. Results The evaluation of a humanoid geometric model based a cylinder confirmed that V derived from C and H was highly correlated with measured V [R2 both males and females, 0.97; p 0.5. The scaling of individual circumferences to V/H varied, with waist the highest (V/H~0.6 and calf the lowest (V/H~0.3, indicating that the largest and smallest between-subject "growth" with greater body volume occurs in the abdominal area and lower extremities, respectively. A stepwise linear regression model including all five circumferences2 showed that each contributed independently to V/H. These cross

  18. Circumference and its variation with age of rural adults of Xiang dialect group%湘语族群乡村成人围度值年龄组间比较

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 郑连斌; 李传刚; 李永霞; 孔祥薇; 傅媛

    2012-01-01

    Objective To study the circumference and its variation with age of rural adults in Xiang dialect group. Methods Using random sampling method to measure the circumference values of Xiang dialect group with 410 adults (196 males,214 females ), including the circumference values of head, neck, chest, inspiratory chest circumference values, expiratory chest circumference values, and the circumference values of abdomen, hip, thigh, calf, biceps, fore-arm, Maximum biceps. To analysis the changes of circumference values of different age groups, and then make a comparison of the circumference values of 19 nationalities in China using method of cluster analysis. Results The result of variance analysis showed that there were significant differences between the male and female 11 circumference values ( exception of the head circumference ) , among age groups. A linear correlation analysis showed, male chest circumference, expiratory chest circumference, abdominal circumference were positively associated with age. , while head, neck, thigh, calf circumference were negatively associated with age. Female chest circumference, inspiration chest circumference, expiration chest circumference, abdomen circumference, and biceps circumference, were positively associated with age. Abdomen, hip, thigh circumference values did not show any significant difference between sex. There was a significant difference among the remaining 9 circumference values in gender, and male' s was significantly higher than that of female. Conclusion Circumference values of rural adult in Xiang dialect group have a significant difference in both of different age groups and gender.%目的 探讨湘语族群乡村成人围度值及其年龄变化特点.方法 采用随机抽样方法,测量湖南410名(男196名,女214名)湘语族群乡村成人的头围、颈围、胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂最大围12

  19. Integration Technology of Combining Binary-layer Foundation Excavation Dewatering with Suspended Cut-off Wall and Recharge%二元地基基坑降水结合悬挂式防渗墙及回灌一体化技术

    Institute of Scientific and Technical Information of China (English)

    王恒; 李守德; 王由国; 柯倩雯; 张灿虹

    2015-01-01

    In this paper,a generalized model of the typical cross-section is used to study the consequence of excavation dewatering with suspended cut-off wall and recharge well which have some effects on water head and ground subsidence which is outside of excavation. The comparisons of the condition of excavation direct precipitation , the condition of cut-off wall excavation precipitation and the condition of cut-off wall and recharge well excavation dewatering are analyzed. The result shows that suspended cut-off wall and recharge well can significantly enhance the water head and effectively reduce the settlement in the outside of the excavation,reduce the unit sedimentation of soft soil,have little effect on the unit sedimentation of silt and sand layers. Meanwhile,the comparisons of the tilt ratio of three conditions indicate the distance away from cut-off wall and recharge well closer ,the smaller the differential settlement.%通过构造基坑降水三维概化模型,利用有限元软件FLAC3D分析悬挂式防渗墙和回灌对基坑坑外的水头和地面沉降影响,主要将基坑直接降水工况、设置防渗墙的基坑降水工况和设置防渗墙及回灌井的基坑降水工况进行对比分析。分析结果表明防渗墙和回灌井,可明显提升坑外水头,有效降低了坑外沉降,减小软土层的单位沉降值,对粉砂层和细砂层的单位沉降值影响很小。同时,对比三种工况下的倾斜比,说明了距离防渗墙与回灌井越近,不均匀沉降越小。

  20. Learning circumference concepts from the didactical situations theory perspective

    Directory of Open Access Journals (Sweden)

    Valdir de Sousa Cavalcanti

    2013-08-01

    Full Text Available The circumference study, as its importance, it is one of the most relevant contents in the Analytical Geometry curriculum. However, the complexity of related concepts to this theme linked to the content fragmentation, it difficulties the students thinking of transforming geometrical problems into equations solution, systems or inequations. Within, in this article we present a partial report of a master research work, of qualitative mode, which aimed to develop and to evaluate an alternative methodology by using musical parody composition to the teaching of Mathematics in trying to contribute to the circumference concepts learning process. For that, we carried out a case study with 36 third year high school students of a public school from the city of Campina Grande, Paraíba. The research work was based and discussed on Brousseau Didactical Situation Theory. It was chosen triangulation technique for the data analyses, collected from interviews, questionnaires and a list of mathematical exercises. We concluded that the parody composition resource allowed the students better understand the concepts of center, ratio, cord and the definition of the general circumference equation, as they were capable to identify the relative positions which a circumference assumes in relation to an equation of a straight line and between two circumferences in the various concepts that differentiated them. Thus, we can state that the musical parody composition as a didactical resource can contribute to the learning of mathematical contents.

  1. Anthropometry of height, weight, arm, wrist, abdominal circumference and body mass index, for Bolivian adolescents 12 to 18 years: Bolivian adolescent percentile values from the MESA study Referencias antropométricas de los adolescentes bolivianos de 12 a 18 años: estatura, peso, circunferencia del brazo, muñeca y abdominal, índice de masa corporal: Percentiles de adolescentes bolivianos (PAB del estudio MESA

    Directory of Open Access Journals (Sweden)

    A. Baya Botti

    2009-06-01

    Full Text Available Anthropometry is important as clinical tool for individual follow-up as well as for planning and health policymaking at population level. Recent references of Bolivian Adolescents are not available. The aim of this cross sectional study was to provide age and sex specific centile values and charts of Body Mass Index, height, weight, arm, wrist and abdominal circumference from Bolivian Adolescents. Data from the MEtabolic Syndrome in Adolescents (MESA study was used. Thirty-two Bolivian clusters from urban and rural areas were selected randomly considering population proportions, 3445 school going adolescents, 12 to 18 y, 45% males; 55% females underwent anthropometric evaluation by trained personnel using standardized protocols for all interviews and examinations. Weight, height, wrist, arm and abdominal circumference data were collected. Body Mass Index was calculated. Smoothed age- and gender specific 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th and 97th Bolivian adolescent percentiles(BAP and Charts(BAC where derived using LMS regression. Percentile-based reference data for the antropometrics of for Bolivian Adolescents are presented for the first time.La antropometría es una herramienta clínica importante para el seguimiento individual de los pacientes así como para la planificación de políticas públicas. En Bolivia no existen referencias antropométricas nacionales para adolescentes. El objetivo de este estudio transversal fue de desarrollar percentiles y diagramas de crecimiento para peso, talla, índice de masa corporal, presión arterial sistólica y diastólica, circunferencia de muñeca, brazo y abdominal de adolescentes bolivianos. Los datos antropométricos en el estudio MESA (Síndrome metabólico en adolescentes bolivianos fueron obtenidos a partir de 32 unidades muestrales, considerando proporcionalidad muestral con reposición. Fueron evaluados 3445 adolescentes de 12 a 18, 45% hombres; 55% mujeres, de colegios de

  2. BODY MASS INDEX AND WAIST CIRCUMFERENCE IN GREEK ADULTS

    Directory of Open Access Journals (Sweden)

    Mavrovounioti, Chr.

    2009-03-01

    Full Text Available The aim of the present study was to investigate overweight and obesity, in Greek adults. In the presentstudy, 110 men and women, 19- to 60 years old, took part. Measurements of subject’s height, body weight, andwaist circumference (WC were performed. BMI was used for the evaluation of the degree of overweight andobesity and WC for the evaluation of the degree of central obesity, according to the values for adults set byWorld Health Organisation (WHO. For the statistical analysis the statistic packet SPSS/PC version 12.0 forwindows was used. From data statistical analysis, it was found out that men had BMI 24.94+3.22 kg/m2 and WC90.78+13.24cm, while women had BMI 22.99+4.75 kg/m2 and WC 80.64+11.19cm. T-tests showed that theobserved differences between men and women in both BMI and WC were significant (t=2.51, p<0.05 andt=4.34, p<0.001, respectively. Additionally, it was found out that more than half of the men were overweightand/or obese (51.9%, while approximately the 1/5th of women were overweight and/or obese (21.5%. Chisquaretest showed that sex affects significantly the degree of overweight and obesity (x2=18.14, p<0.001.Moreover, men presented central obesity to a percentage of 11.1%, while women presented central obesity to a smaller percentage (3.60%. Consequently, in the present study, there were observed high percentages of overweight and obesity, as well as of central obesity, especially on men. Thus, a combination of an exercise program with a balanced diet is suggested in order to lead to a normal body weight and normal abdominal fat quantity for an enhanced quality of life without health disorders due to obesity.

  3. Relationship of age, body mass index, wrist and waist circumferences to carpal tunnel syndrome severity.

    Science.gov (United States)

    Komurcu, Hatice Ferhan; Kilic, Selim; Anlar, Omer

    2014-01-01

    Carpal tunnel syndrome (CTS) has a multifactorial etiology involving systemic, anatomical, idiopathic, and ergonomic characteristics. In this study, an investigation of the relationship between the CTS degree established by electrophysiological measurements in patients with clinical CTS prediagnosis, and age, gender, body mass index (BMI), hand wrist circumference, and waist circumference measurements has been done. On 547 patients included in the study, motor and sensory conduction examinations of the median and ulnar nerve were done on one or two upper extremities thought to have CTS. In terms of CTS severity, the patients were divided into four groups (normal, mild, medium, and severe CTS). A total of 843 electrophysiological examinations were done consisting of 424 on the right hand wrist and 419 on the left hand wrist. When the age group of 18-35 years is taken as the reference group, the CTS development risk independent of BMI has been found to have increased by a factor of 1.86 for ages 36-64 years, and by 4.17 for ages 65 years and higher after adjustment for BMI. With respect to normal degree CTS group, the BMI were significantly different in groups with mild, medium, and severe CTS. The waist circumferences of groups with mild, medium, and severe CTS severity were found to be significantly higher in comparison to the normal reference group. When this value was corrected with BMI and re-examined the statistically significant differences persisted. The study identified a significant relationship between the CTS severity and age, BMI, waist circumference.

  4. Comparison of Body Mass Index (BMI, Body Adiposity Index (BAI, Waist Circumference (WC, Waist-To-Hip Ratio (WHR and Waist-To-Height Ratio (WHtR as predictors of cardiovascular disease risk factors in an adult population in Singapore.

    Directory of Open Access Journals (Sweden)

    Benjamin Chih Chiang Lam

    Full Text Available Excess adiposity is associated with cardiovascular disease (CVD risk factors such as hypertension, diabetes mellitus and dyslipidemia. Amongst the various measures of adiposity, the best one to help predict these risk factors remains contentious. A novel index of adiposity, the Body Adiposity Index (BAI was proposed in 2011, and has not been extensively studied in all populations. Therefore, the purpose of this study is to compare the relationship between Body Mass Index (BMI, Waist Circumference (WC, Waist-to-Hip Ratio (WHR, Waist-to-Height Ratio (WHtR, Body Adiposity Index (BAI and CVD risk factors in the local adult population.This is a cross sectional study involving 1,891 subjects (Chinese 59.1% Malay 22.2%, Indian 18.7%, aged 21-74 years, based on an employee health screening (2012 undertaken at a hospital in Singapore. Anthropometric indices and CVD risk factor variables were measured, and Spearman correlation, Receiver Operating Characteristic (ROC curves and multiple logistic regressions were used. BAI consistently had the lower correlation, area under ROC and odd ratio values when compared with BMI, WC and WHtR, although differences were often small with overlapping 95% confidence intervals. After adjusting for BMI, BAI did not further increase the odds of CVD risk factors, unlike WC and WHtR (for all except hypertension and low high density lipoprotein cholesterol. When subjects with the various CVD risk factors were grouped according to established cut-offs, a BMI of ≥23.0 kg/m2 and/or WHtR ≥0.5 identified the highest proportion for all the CVD risk factors in both genders, even higher than a combination of BMI and WC.BAI may function as a measure of overall adiposity but it is unlikely to be better than BMI. A combination of BMI and WHtR could have the best clinical utility in identifying patients with CVD risk factors in an adult population in Singapore.

  5. Measurement error of waist circumference: gaps in knowledge.

    NARCIS (Netherlands)

    Verweij, L.M.; Terwee, C.B.; Proper, K.I.; Hulshof, C.T.J.; Mechelen, W. van

    2013-01-01

    Objective: It is not clear whether measuring waist circumference in clinical practice is problematic because the measurement error is unclear, as well as what constitutes a clinically relevant change. The present study aimed to summarize what is known from state-of-the-art research. Design: To ident

  6. Measurement error of waist circumference: Gaps in knowledge

    NARCIS (Netherlands)

    Verweij, L.M.; Terwee, C.B.; Proper, K.I.; Hulshof, C.T.; Mechelen, W.V. van

    2013-01-01

    Objective It is not clear whether measuring waist circumference in clinical practice is problematic because the measurement error is unclear, as well as what constitutes a clinically relevant change. The present study aimed to summarize what is known from state-of-the-art research. Design To identif

  7. Head Circumference in Autism, Asperger Syndrome and ADHD

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2002-06-01

    Full Text Available Occipitofrontal circumference (OFC, measured at birth and after 16 months of age, was compared in 50 consecutive patients with Asperger syndrome, 50 diagnosed with autistic disorder, and 50 with ADHD and followed at the Department of Child and Adolescent Psychiatry, Goteborg University, Sweden.

  8. Association Between Increased Waist Circumference and Depression and Anxiety Trend

    Directory of Open Access Journals (Sweden)

    Elena Bocicor Andreea

    2015-06-01

    Full Text Available Introduction: Abdominal adiposity assessed by increased waist circumference and depression have both a high incidence and prevalence and are associated with increased general mortality and cardiovascular risk. Several studies showed a significant association between abdominal obesity, metabolic syndrome and depression. Early detection of these associations is important for for prevention and treatment of this disease.

  9. Head Circumferences in Twins with and without Autism Spectrum Disorders

    Science.gov (United States)

    Froehlich, Wendy; Cleveland, Sue; Torres, Andrea; Phillips, Jennifer; Cohen, Brianne; Torigoe, Tiffany; Miller, Janet; Fedele, Angie; Collins, Jack; Smith, Karen; Lotspeich, Linda; Croen, Lisa A.; Ozonoff, Sally; Lajonchere, Clara; Grether, Judith K.; Hallmayer, Joachim

    2013-01-01

    To determine the genetic relationship between head circumference (HC) and Autism Spectrum Disorders (ASDs). Twin pairs with at least one twin with an ASD were assessed. HCs in affected and unaffected individuals were compared, as were HC correlations in monozygotic and dizygotic pairs. 404 subjects, ages 4-18, were included. 20% of males and 27%…

  10. The Brazilian hazard-based cut-off criteria for pesticide registration: a critical appraisal / Critérios de exclusão baseados em perigo adotados no Brasil para registro de pesticidas: Uma avalição crítica

    Directory of Open Access Journals (Sweden)

    Francisco José Roma Paumgartten

    2013-02-01

    Full Text Available Brazil, the world’s top consumer of agricultural pesticides, adopts a unique hazard-based cut-off approach to pesticide registration. Cut-off criteria for mutagenicity, carcinogenicity, teratogenicity, hormonal disturbances and damage to reproductive organs were introduced by the Pesticide Law enacted in 1989. As far as health is concerned, law enforcement is additionally regulated by rules issued by the federal health authority (National Agency for Health Surveillance – ANVISA. Contrasting to the European Union’s hazard-based cut-off criteria for pesticides, Brazilian rules do not make an exception for “negligible” exposures. Moreover, Brazilian regulations have shortcomings (e.g. no reference to relevance of Mode of Action to humans that make cut-off criteria difficult to be put into effect. The deficiencies of regulations and difficulties to consistently apply the hazard-based cut-off criteria are appraised in this article. Adoption of a risk assessment approach or cut-off criteria based on classification into the Globally Harmonized System’s hazard categories 1A and 1B is suggested. Resumo O Brasil, líder mundial do consumo de agro-químicos, adota uma singular abordagem para registro de agrotóxicos que é baseada em critérios de exclusão quanto à periculosidade. Critérios de exclusão para mutagenicidade, carcinogenicidade, teratogenicidade, distúrbios hormonais e dano a órgãos reprodutivos foram introduzidos pela Lei de Agrotóxicos promulgada em 1989. Em relação à saúde, a aplicação da lei é também regulada por portarias publicadas pela autoridade sanitária federal (Agência Nacional de Vigilância Sanitária – ANVISA. Em contraste com os critérios de exclusão baseados na periculosidade que a União Européia usa para agrotóxicos, a regulamentação brasileira não faz exceção para exposições insignificantes. Além disso, a regulamentação brasileira apresenta deficiências (e.g., não faz men

  11. Methodology for adjusting scrotal circumference to 365 or 452 days of age and correlations of scrotal circumference with growth traits in beef bulls.

    Science.gov (United States)

    Bell, D J; Spitzer, J C; Bridges, W C; Olson, L W

    1996-09-01

    A retrospective analysis was conducted on data collected from 1983 through 1991, where weight and hip height were measured at start of test and every 28 d on 604 bulls completing a 224-d forage-based gain test. Scrotal circumference (SC) was measured at start of test, and at either end of test or end of the weigh period after individual bulls reached 365 d of age. Over 3 yr of this study, SC was additionally measured every 28 d. Bulls were representatives of 5 breed groups: Angus, Santa Gertrudis, Simmental, Continental (predominantly Charolais), and Zebu (predominantly Simbrah). Adjusted 365-d SC and adjusted 452-d SC were calculated by regression analysis and from formulas based on SC growth of individuals to 140 and 224 d on test, respectively. Breed group differences were observed for age of dam, birth weight, hip height, weight per day of age, average daily gain and SC at start of test, 140 d, and end of test (224 d). Scrotal circumference was positively correlated with all growth traits. Scrotal circumference was related to breed group, age, weight, hip height, average daily gain, weight per day of age, age by year, and age-by-breed group (P<0.05), as determined by regression analysis. However, omitting weight, hip height, average daily gain, and weight per day of age from the regression model did not significantly affect R2 value. Scrotal circumference growth was linear to 140 d on test; however, SC growth to 224 d on test was curvilinear. The 365-d SC predicted from the formula and from regression analysis differed for Simmental and Zebu by 0.3 and 0.4 cm, respectively (P<0.05). The 452-d SC differed for Santa Gertrudis and Zebu by 0.5 and 0.6 cm, respectively (P<0.05). Formulas based on SC growth of individuals are reasonably accurate predictors of SC at 365 and 452 d of age, when compared with more complex regression analysis. Basing SC adjustments on individual growth appears to account for variables known to affect yearling SC.

  12. On the application of plastic concrete cut-off wall in Huashan Reservoir Risk Removal Reinforcement Project%浅谈塑性混凝土防渗墙在花山水库除险加固工程中的应用

    Institute of Scientific and Technical Information of China (English)

    劳正绍; 梁水新; 陆家辉

    2016-01-01

    Plastic concrete cut-off wall is a plastic wall structure with certain compressive strength and impermeability capacity,and lower modulus of elasticity,which can be controlled artificially for curbing leakage,piping,etc.Plastic concrete cut-off wall not only can cut off seepage flow of the dam (soil)body and lower seepage slope in the dam (soil) body,but also can withstand certain vertical and horizontal load.It can adapt to the surrounding dam (soil ) body deformation and foundation deformation,thereby greatly reducing stress in the wall,avoiding wall cracking,saving cement and reducing the cost of the engineering seepage control with remarkable effect.%塑性混凝土防渗墙是一种塑性墙体结构,具有一定的抗压强度和抗渗能力,有较低的弹性模量,并可人为地控制,抑制渗漏、管涌等。塑性混凝土防渗墙不仅能有效截断坝(土)体的渗透水流和降低坝(土)体中渗透坡降,还能承受一定的垂直和水平荷载,能适应周围坝(土)体变形、地基变形,大大减小墙体内应力,避免墙体开裂,且可节约水泥,降低工程防渗造价,效果显著。

  13. Nursing care of sectioned skin-flap ligation for early pedicle cut-off in 93 patients with Ⅲ-grade burns%93例Ⅲ度烧伤患者分段结扎皮瓣早期断蒂的护理

    Institute of Scientific and Technical Information of China (English)

    林玉丹; 黄书润; 邱双双; 李丽香; 沈秋凤

    2011-01-01

    This paper introduces the nursing care of sectioned skin-flap ligation for early pedicle cut-off in 93 patients with Ⅲ-grade burns. During pedicle ligation,nursing care focused on close observation of blood circulation of the skin flap,especially within the 24 hours after ligation,so as to detect and deal with problems as early as possible and prevent ischemia and necrosis of skin flap. Careful and gentle operations to relieve patients' pain on the premise of tight ligation. After ligation,the key points were changing dressings timely to prevent wound infection and suture reaction,as well as early functional exercises after pedicle cut-off. The average time of pedicle cut-off in the 93 patients was 10 days with good therapeutic outcome and without necrosis of skin flap.%对93例接受分段结扎皮瓣早期断蒂的患者进行观察及护理.认为护理要点包括:每次结扎蒂部时均严密观察皮瓣血液循环,特别是结扎后24h内,及时发现问题,并采取积极的处理措施,建立皮瓣情况评估单,预防皮瓣缺血、坏死;结扎时做到耐心沟通,动作轻柔,既保证扎紧蒂部又能减轻患者的疼痛;结扎后加强换药,减少伤口感染及线头反应等并发症;断蒂后尽早行功能锻练.本组平均断蒂时间10d,结扎或断蒂后皮瓣无坏死,随访结果满意.

  14. Norms for the mini-mental state examination: adjustment of the cut-off point in population-based studies (evidences from the Bambuí health aging study Normas para o uso do mini-exame do estado mental: adequação do ponto de corte em estudos populacionais (evidências do Projeto Bambuí

    Directory of Open Access Journals (Sweden)

    Érico Castro-Costa

    2008-09-01

    Full Text Available OBJECTIVE: To estimate the prevalence of cognitive impairment in an elderly population-based cohort, using several Mini-Mental State Examination (MMSE cut-off points recommended by Brazilian authors and to examine the percentile distribution of MMSE scores in the study population. METHOD: A total of 1558 subjects aged >60 years (89.4% of the total, living in the city of Bambuí, MG, completed the MMSE and were included in the present study. RESULTS: The estimated prevalences of cognitive impairment varied from 13.2% to 27.0% depending on the cut-off point and agreement varied widely between them (kappa range: 0.38 to 0.88. Cut-off point 13/14 corresponded to the 5th percentile and 21/22 corresponded to the lower quartile of the MMSE score distribution. CONCLUSION: In the absence of comparable cut-off points, percentile distributions are more adequate for population-based studies of elderly with low schooling level.OBJETIVO: Estimar a prevalência de déficit cognitivo em uma base populacional de idosos, utilizando-se os diferentes pontos de corte do Mini-Exame do Estado Mental (MEEM recomendados por autores brasileiros e verificar a distribuição em percentis da pontuação do MEEM na população estudada. MÉTODO: Participaram do estudo 1558 (89,4% do total indivíduos com idade >60 anos residentes na cidade de Bambuí, MG, que foram submetidos ao MEEM. RESULTADOS: A prevalência estimada de déficit cognitivo variou de 13,2% a 27,0%, dependendo do ponto de corte utilizado, observando-se grande variação na sua concordância (índices de kappa entre 0,38 e 0,88. O ponto de corte de 13/14 correspondeu ao 5º percentil e o de 21/22, ao quartil inferior da distribuição dos escores do MEEM. CONCLUSÃO: Na ausência de pontos de corte comparáveis, a distribuição em percentis é mais adequada para estudos de base populacional de idosos com baixa escolaridade.

  15. Social relationships and longitudinal changes in body mass index and waist circumference: the coronary artery risk development in young adults study.

    Science.gov (United States)

    Kershaw, Kiarri N; Hankinson, Arlene L; Liu, Kiang; Reis, Jared P; Lewis, Cora E; Loria, Catherine M; Carnethon, Mercedes R

    2014-03-01

    Few studies have examined longitudinal associations between close social relationships and weight change. Using data from 3,074 participants in the Coronary Artery Risk Development in Young Adults Study who were examined in 2000, 2005, and 2010 (at ages 33-45 years in 2000), we estimated separate logistic regression random-effects models to assess whether patterns of exposure to supportive and negative relationships were associated with 10% or greater increases in body mass index (BMI) (weight (kg)/height (m)(2)) and waist circumference. Linear regression random-effects modeling was used to examine associations of social relationships with mean changes in BMI and waist circumference. Participants with persistently high supportive relationships were significantly less likely to increase their BMI values and waist circumference by 10% or greater compared with those with persistently low supportive relationships after adjustment for sociodemographic characteristics, baseline BMI/waist circumference, depressive symptoms, and health behaviors. Persistently high negative relationships were associated with higher likelihood of 10% or greater increases in waist circumference (odds ratio = 1.62, 95% confidence interval: 1.15, 2.29) and marginally higher BMI increases (odds ratio = 1.50, 95% confidence interval: 1.00, 2.24) compared with participants with persistently low negative relationships. Increasingly negative relationships were associated with increases in waist circumference only. These findings suggest that supportive relationships may minimize weight gain, and that adverse relationships may contribute to weight gain, particularly via central fat accumulation.

  16. Association of head circumference and shoulder dystocia in macrosomic neonates.

    Science.gov (United States)

    Larson, Austin; Mandelbaum, David E

    2013-04-01

    To determine whether asymmetric macrosomia (disproportionately large body size in comparison to head circumference) could be demonstrated in a population of infants suffering shoulder dystocia during delivery relative to those that did not suffer from shoulder dystocia. A case-control study was conducted as a retrospective chart review over 3 years at a large maternity hospital in an urban setting. Among infants over 4,000 g, those that suffered from shoulder dystocia during delivery had a smaller mean head circumference than infants of a similar size that did not suffer from shoulder dystocia. A statistically significant difference was also present when cases of documented gestational diabetes were excluded. Asymmetric macrosomia is more likely to be present in a population of infants who suffered shoulder dystocia during delivery. This knowledge could be used in designing tools to predict which pregnancies are at highest risk for shoulder dystocia during delivery.

  17. Comparison of Marginal Circumference of Two Different Pre-crimped Stainless Steel Crowns for Primary Molars After Re-crimping

    Directory of Open Access Journals (Sweden)

    Hossein Afshar

    2016-08-01

    Full Text Available Objectives: It is not clear what type of pre-crimped crown is more successful in achieving greater marginal adaptation following re-crimping. This study aimed to assess the changes in the circumference of 3M ESPE and MIB pre-crimped stainless steel crowns (SSCs for the primary maxillary and mandibular first and second molars following re-crimping.Materials and Methods: This was an in-vitro, experimental study. Initial photographs were obtained from the margins of 3M and MIB SSCs for the upper and lower primary molars using a digital camera. Crown margins were crimped by applying 0.2N force using 114 and 137 pliers. Post-crimping photographs were also obtained and the changes in crown circumference after crimping were calculated using AutoCad software. The percentage of reduction in the circumference of crowns for each tooth was statistically analyzed based on the type of crown using student t-test. The effect of crown design and the associated teeth on the decreased circumference percentage was statistically analyzed by two-sided ANOVA.Results: The percentage of reduction in lower E SSC circumference was 3.71±0.39% in MIB and 6.29±0.62% in 3M crowns. These values were 3.55±0.55% and 7.15±1.13% for the lower Ds, and 3.95±0.43 and 6.24±0.85% for the upper Ds, respectively. For the upper Es, these values were found to be 3.12±0.65% and 5.14±0.94%, respectively. For each tooth, a significant difference was found between MIB and 3M SSCs in terms of the percentage of reduction in crown circumference following crimping. The magnitude of this reduction was smaller in MIB compared to 3M SSCs (P<0.001.Conclusion: Considering the significant reduction in the marginal circumference of pre-crimped SSCs following re-crimping, it appears that this manipulation must be necessarily performed for MIB and 3M pre-crimped SSCs. By using 3M SSCs, higher marginal adaptation can be achieved following crimping.

  18. Circumference and its variation with age of urban of Jiangxi Han nationality adults%江西汉族城市成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 郑连斌; 李玉玲; 李永霞; 国海; 陈琛

    2013-01-01

    目的 探讨江西汉族城市成人围度值及其年龄变化特点.方法 采用随机抽样方法,测量江西307人(男151,女156)城市汉族成人的头围、颈围、胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂最大围12项围度值,分析不同年龄组围度值的变化规律;采用聚类分析方法,与国内的18个族群进行比较.结果 方差分析结果显示,男性与女性胸围、吸气胸围、呼气胸围、腹围、大腿围、小腿围、上臂围、上臂最大围在年龄组间的差异显著.此外女性前臂围在年龄组间的差异显著.相关分析显示,男性腹围与年龄呈正相关,小腿围、上臂围、上臂最大围与年龄呈负相关.女性胸围、呼气围、腹围、上臂围与年龄呈正相关.腹围、臀围、大腿围值不存在性别间的显著性差异,其余9项围度值在性别间差异均存在统计学意义,且男性值明显高于女性.结论 江西汉族城市成人围度值具有我国北亚类型族群的特征.%Objective To study the changes of circumference value of Jiangxi urban Han with age. Methods Based on the measurement of the circumferences of 307 urban adults (151 males, 156 females) of Jiangxi Han nationality (including the circumference of head, neck, chest, chest circumference at inspiration, chest circumference at expiration, abdomen, hip, thigh, calf, upper arm, fore-arm and maximum biceps) , the study analyzed the changes of circumference value with age, and with cluster analysis, compared the circumference values between Jiangxi Han nationality and other 18 nationalities in China. Results The results of variance analysis showed that males and females had significant differences among age groups in chest, chest circumference at inspiration, chest circumference at expiration, abdomen, thigh, calf, upper arm and maximum biceps. In addition, the forearm circumference of female existed significant differences

  19. Application of pipe-joint technology in Kaoshantun Reservoir dam concrete cut-off wall construction%接头管法在靠山屯水库大坝混凝土防渗墙施工中的应用

    Institute of Scientific and Technical Information of China (English)

    金文

    2016-01-01

    本文以辽宁锦州义县靠山屯水库大坝混凝土防渗墙施工为例,针对接头施工质量难控制问题,对接头管法施工工艺中接头管下设、拔管时机控制与起拔力确定等关键技术进行了阐述分析,并结合工程实际,提出了混凝土防渗墙接头管施工常见问题及其解决措施,以期对此类地下连续墙施工有所借鉴。%In the paper,Liaoning Jinzhou Kaoshantun Reservoir dam concrete cut-off wall construction is adopted as an example.The key technologies of pipe-joint installation,pipe removal timing control,removal force datermination,etc. during pipe-joint technology construction process are described and analyzed aiming at difficult quality control in joint construction.Engineering practice is combined for proposing common problems and solutions in concrete cut-off wall pipe-joint construction,thereby providing reference for similar underground continuous wall construction.

  20. Diagnostic value of FIB-4 for liver fibrosis in patients with hepatitis B: a meta-analysis of diagnostic test.

    Science.gov (United States)

    Yin, Zhi; Zou, Jin; Li, Qiongxuan; Chen, Lizhang

    2017-01-02

    This study is aimed at evaluating the diagnostic value of FIB-4 for liver fibrosis in patients with hepatitis B through a meta-analysis of diagnostic test. We conducted a comprehensive search in the Pubmed, Embase, Web of Science, and Chinese National Knowledge Infrastructure before October 31, 2016. Stata 14.0 software was used for calculation and statistical analyses. We used the sensitivity, specificity, positive and negative likelihood ratio (PLR, NLR), diagnostic odds ratio (DOR) and 95% confidence intervals (CIs) to evaluate the diagnostic value of FIB-4 for liver fibrosis in patients with hepatitis B. Twenty-six studies were included in the final analyses, with a total of 8274 individuals. The pooled parameters are calculated from all studies: sensitivity of 0.69 (95%CI:0.63-0.75), specificity of 0.81 (95%CI: 0.73-0.87), PLR of 3.63 (95%CI:2.66-4.94), NLR of 0.38 (95%CI:0.32-0.44), DOR of 9.57 (95%CI: 6.67-13.74), and area under the curve (AUC) of 0.80 (95%CI: 0.76-0.83). We also conducted subgroup based on the range of cut-off values. Results from subgroup analysis showed that cut-off was the source of heterogeneity in the present study. The sensitivity and specificity of cut-off>2 were 0.69 and 0.95 with the AUC of 0.90 (95%CI: 0.87-0.92). The overall diagnostic value of FIB-4 is not very high for liver fibrosis in patients with hepatitis B. However, the diagnostic value is affected by the cut-off value. FIB-4 has relatively high diagnostic value for detecting liver fibrosis in patients with hepatitis B when the diagnostic threshold value is more than 2.0.

  1. The influence of hip circumference on the relationship between abdominal obesity and mortality

    OpenAIRE

    Cameron, Adrian J.; Magliano, Dianna J; Shaw, Jonathan E.; Zimmet, Paul Z; Carstensen, Bendix; Alberti, K George MM; Tuomilehto, Jaakko; Barr, Elizabeth L M; Pauvaday, Vassen K; Kowlessur, Sudhirsen; Söderberg, Stefan

    2012-01-01

    Background Higher waist circumference and lower hip circumference are both associated with increased cardiovascular disease (CVD) risk, despite being directly correlated. The real effects of visceral obesity may therefore be underestimated when hip circumference is not fully taken into account. We hypothesized that adding waist and hip circumference to traditional risk factors would significantly improve CVD risk prediction. Methods In a population-based survey among South Asian and African M...

  2. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures.

    Science.gov (United States)

    Joshipura, Kaumudi; Muñoz-Torres, Francisco; Vergara, José; Palacios, Cristina; Pérez, Cynthia M

    2016-01-01

    This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40-65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS). Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r) and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with waist circumference (r = 0.64), BMI (r = 0.66), and body fat % (r = 0.45). Neck circumference, highest (compared to lowest) tertile, had higher association with prediabetes: multivariable OR = 2.30 (95% CI: 1.71-3.06) compared to waist circumference OR = 1.97 (95% CI: 1.48-2.66) and other anthropometric measures. Neck circumference showed higher associations with HOMA, low HDL-C, and triglycerides, multivariable OR = 8.42 (95% CI: 5.43-13.06), 2.41 (95% CI: 1.80-3.21), and 1.52 (95% CI: 1.14-2.03), but weaker associations with hs-CRP and hypertension, OR = 3.61 (95% CI: 2.66-4.90) and OR = 2.58 (95% CI: 1.90-3.49), compared to waist circumference. AIC for model fit was generally similar for neck or waist circumference. Neck circumference showed similar or better associations with metabolic factors and is more practicable than waist circumference. Hence, neck circumference may be a better alternative to waist circumference.

  3. Standardized reference of waist circumference among children and adolescents in Beijing using the LMS Method%北京市儿童青少年腰围正常值LMS法研究

    Institute of Scientific and Technical Information of China (English)

    吕若然; 孟灵慧; 孙颖

    2013-01-01

    Objective To establish the standardized reference of waist circumference (WC) among children and adolescents in Beijing.Method Stratified by rural and urban areas,level of economic status,a total of 9 421 students aged in 6-22years from 40 primary and middle schools and 2 colleges in 6 districts of Beijing were investigated.The reference intervals were calculated using the LMS method.Results WC was increasing by age in boys aged 7-22 years old; the same trend was in girls before 12 years old.At 18 years old,average WC was 76.62 cm in boys and 72.55 cm in girls.The WC was highest in obese students,followed by overweight and normal-weight students.WC cut-off values for screening overweight and obesity was 79.72 cm and 89.35 cm in boys aged 18 and 74.38 cm and 84.40 cm in girls,respectively.Conclusion Standardized reference of WC for screening overweight and obesity by using the LMS method is reliable.It can be used in Beijing.%目的 通过分析2010年北京市学生体质健康调研结果,建立北京市儿童腰围筛查分类标准.方法 按城乡、经济水平分层,调查北京市6个区40所中小学校和2所大学的7 ~ 22岁大中小学生8 795名.按照《2010年全国学生体质健康调研工作手册》规定的方法进行身体测量,以LMS法计算性别年龄别腰围各百分位数值,并绘制LMS曲线,建立北京市儿童青少年腰围正常值.结果 北京市7 ~22岁男生腰围随年龄的增加而增大,女生在12岁以前呈现同样趋势,但之后趋于稳定.18岁男、女生腰围分别为76.62 cm和72.55 cm.不同BMI组别间腰围均值不同,肥胖组>超重组>正常组.北京市18岁男生超重/肥胖的腰围筛查标准是79.72 cm和89.31 cm,女生分别是74.38 cm和84.40 cm.结论 LMS法建立的北京市儿童青少年腰围筛查标准准确,可以在北京地区推广使用.

  4. Short-form Mini-Nutritional Assessment with either BMI or calf circumference is effective in rating the nutritional status of elderly Taiwanese -- results of a national cohort study.

    Science.gov (United States)

    Tsai, Alan C; Chang, Tsui-Lan; Wang, Jiun-Yi

    2013-09-28

    The present study was aimed to validate two normalised short-form (SF) Mini-Nutritional Assessments (MNA) that contained either BMI (Taiwan version 1, T1) or calf circumference (CC; Taiwan version 2, T2) for rating the nutritional status of elderly Taiwanese. Both versions adopted Taiwanese anthropometric cut-offs, but T2 further had the BMI item replaced by CC. We compared the ability of the two SF in rating the nutritional status of 2674 elderly Taiwanese in the 1999 ‘Taiwan Longitudinal Survey on Aging’ with their respective full versions. We evaluated the agreement between the SF and full scales with weighted κ and performed Cox regression analysis for the follow-up 4-year mortality according to nutritional status rated at baseline. The results showed that the agreements between the respective SF and the full MNA were good (weighted κ: 0·679 for T1 and 0·667 for T2). Both SF performed well in predicting follow-up 4-year mortality relative to the full MNA. In conclusion, MNA-T1-SF and -T2-SF have good consistency with the full MNA and have quite comparable abilities in rating the nutritional status of elderly Taiwanese. Both SF versions appear appropriate for functioning as stand-alone units for rating the nutritional status of the elderly in community-living settings or the general population.

  5. Hip circumference and cardiovascular morbidity and mortality in men and women

    DEFF Research Database (Denmark)

    Heitmann, Berit L; Frederiksen, Peder; Lissner, Lauren

    2004-01-01

    OBJECTIVE: It has recently been demonstrated that, in middle-aged women, a wide hip circumference is a protective factor for a number of health endpoints in later years. The effect seems to be independent of both overweight and waist circumference. This paper aims to replicate this finding...... and waist circumference, predicted less incidence of CVD, CHD, and total death in women. This was not the case in men; BMI and waist circumference were the strongest independent predictors. DISCUSSION: A large hip circumference seems to have independent and positive effects on CVD and CHD morbidity...

  6. Distribution of waist circumference and waist-to-height ratio and their values in obesity screening among 3-9 years old Han and Uygur ethnic children in Xinjiang Uygur Autonomous Region of China%新疆维吾尔自治区3~9岁汉、维吾尔族儿童腰围和腰围身高比分布特征及其作为肥胖筛查指标的探讨

    Institute of Scientific and Technical Information of China (English)

    窦亚兰; 阿达力别克; 孙翠英; 姜袁; 代丽黎; 吴洁; 张昭; 张慧; 戴江红

    2016-01-01

    Objective To understand the distributions of waist circumference and waist-toheight ratio (WHtR) in Han and Uygur ethnic children aged 3-9 years in Xinjiang Uygur Autonomous Region (Xinjiang) and discuss their values in obesity screening in children.Methods Stratified cluster random sampling was conducted to select Han and Uygur ethnic children from kindergartens and primary schools in four areas of Xinjiang in April 2014.The children' s standing height,body weight and waist circumference were measured by trained investigators according to standard protocol.WC ≥P80 and WHtR≥ 0.48 were used as the cutoff value for abdominal obesity screening in children with normal BMI.The association between overweight/obese prevalence rate and obesity related indicators,such as BMI,WC,WHtR,were analyzed.Results A total of 4 024 Han and Uygur ethnic children were investigated,in which 2 461 were in Han ethnic group,1 563 were in Uygur ethnic group.The WC and WHtR at Ps0 and P80 were similar in two groups,but WC and WHtR at P50 were differed significantly.In both Han and Uygur ethnic groups,there were some children with WC≥P80 or WHtR≥0.48,although they had normal BMI.This proportion decreased with age.Conclusions The WC and WHtR are similar in Han and Uygur ethnic children aged 3-9 years.WC and WHtR have values in obesity screening for children with normal BMI which suggested to use it as the supplementation of BMI in obesity screening in preschool aged children.%目的 了解新疆维吾尔自治区(新疆)汉、维吾尔(维)族3~9岁儿童腰围(WC)和腰围身高比(WHtR)分布特征,探讨其作为儿童肥胖筛查指标的价值.方法 采用分层整群随机抽样方法,于2014年4月抽取新疆四地区幼儿园和小学一、二年级汉、维族儿童,测量身高、体重及WC;以WC的性别年龄别第80百分位值(P80)以及WHtR≥0.48为参考值,在BMI正常儿童中筛查可能患有腹型肥胖的儿童.结果 共测量3~9岁儿童4 024

  7. The Value of Pain Coping Constructs in Subcategorising Back Pain Patients according to Risk of Poor Outcome

    Directory of Open Access Journals (Sweden)

    Nicholas Harland

    2013-01-01

    Full Text Available Background. Subcategorising patients with chronic low back pain (CLBP could improve patient outcomes and facilitate prioritisation of treatment resources. Objective. This study aimed to develop a subcategorising method for individuals with CLBP using the Coping Strategies Questionnaire 24 (CSQ24 and to investigate the methods potential validity. Methods. 196 patients were recruited from a physiotherapy outpatients department. All participants completed a battery of questionnaires before and after treatment including the CSQ24 and a measure of pain, disability, and mood. At discharge participants also completed a global subjective outcomes scale consisting of a 6-point Likert scale. All participants received usual physiotherapy. Results. Cut-off values for the CSQ24 were calculated using triangulation of the findings from three different statistical methods. Cut-off values were identified for the Catastrophising and Cognitive Coping subscales of the CSQ24. Participants were categorised into low, medium, and high risk of a poor outcome. The cut-off values for these were ≥21 on Cognitive Coping and ≤9 on Catastrophising for low risk and ≤15 on Cognitive Coping for high risk, with all other patients being classified as being at moderate risk. Conclusion. Further validation is required before this approach can be recommended for clinical practice.

  8. 湘语族群城市成人围度值及其年龄变化%Circumferences and their variation with ageing in urban adults of Xiang-speaking population

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 郑连斌; 李传刚; 弓剑; 李永霞; 孔祥薇; 付媛

    2012-01-01

    Objective; To study the circumferences and their variation with ageing in urban adults of Xiang-speaking population. Methods: The values including head circumference, neck circumference, chest circumferences during quiet, inspiration and expiration, as well as the circumferences of the abdomen, hip, thigh calf, biceps, forearm and maximum biceps were measured on randomly sampled 320 adults (157 males, 163 females) of Xiang-speaking population. Results-. The variance a-nalysis showed that age differences were detected in all items excluding the thigh circumference in male and the head and calf circumferences in female. Correlation analysis showed that the chest circumference during quiet and expiration, as well as the circumferences of the abdomen and hip were positive correlated to age in male, while the head circumference and calf circumference were negatively correlated to age. In female, positive correlation were found in the neck circumference and chest circumference during quiet, inspiration and expiration, as well as the circumferences of abdomen, hip, biceps, forearm, and maximum biceps with age And, the head circumference of female was negatively correlated with age Additionally, the circumference values in male were significantly higher than those in female excluding the circumferences of the abdomen and thigh. Conclusion; Circumference values in urban adult of Xiang-speaking population have the features similar to north Asian population in our country.%目的:研究湘语族群城市成人围度值及其年龄变化特点.方法:采用随机抽样方法,测量320例(男为157例,女为163例)城市湘语族群成人的头围、颈围、平静胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂最大围共12项围度指标值.分析不同年龄组围度值的变化规律;采用聚类分析方法,与国内的14个族群进行了比较.结果:方差分析显示,男性大腿围值和女性头围、

  9. Clinical utility of calf front hoof circumference and maternal intrapelvic area in predicting dystocia in 103 late gestation Holstein-Friesian heifers and cows.

    Science.gov (United States)

    Hiew, Mark W H; Megahed, Ameer A; Townsend, Jonathan R; Singleton, Wayne L; Constable, Peter D

    2016-02-01

    The objective of this study was to determine the clinical utility of measuring calf front hoof circumference, maternal intrapelvic area, and selected morphometric values in predicting dystocia in dairy cattle. An observational study using a convenience sample of 103 late-gestation Holstein-Friesian heifers and cows was performed. Intrapelvic height and width of the dam were measured using a pelvimeter, and the intrapelvic area was calculated. Calf front hoof circumference and birth weight were also measured. Data were analyzed using Spearman's correlation coefficient (rs), Mann-Whitney U test, and binary or ordered logistic regression; P dystocia (calving difficulty score = 4 or 5), with sensitivity = 0.50 and specificity = 0.93 at the optimal cutpoint for the ratio (>0.068 cm/cm(2)). Determining the ratio of calf front hoof circumference to maternal intrapelvic area has clinical utility in predicting the calving difficulty score in Holstein-Friesian cattle.

  10. Waist circumference and insulin resistance: a cross-sectional study of Japanese men

    OpenAIRE

    Hamachi Tadamichi; Yoshimitsu Shinichiro; Tabata Shinji; Abe Hiroshi; Ohnaka Keizo; Kono Suminori

    2009-01-01

    Abstract Background Visceral obesity is positively related to insulin resistance. The nature of the relationship between waist circumference and insulin resistance has not been known in Japanese populations. This study examined the relationship between waist circumference and insulin resistance and evaluated the optimal cutoff point for waist circumference in relation to insulin resistance in middle-aged Japanese men. Methods Study subjects included 4800 Japanese men aged 39 to 60 years. Insu...

  11. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures

    Directory of Open Access Journals (Sweden)

    Kaumudi Joshipura

    2016-01-01

    Full Text Available This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40–65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS. Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with waist circumference (r=0.64, BMI (r=0.66, and body fat % (r=0.45. Neck circumference, highest (compared to lowest tertile, had higher association with prediabetes: multivariable OR = 2.30 (95% CI: 1.71–3.06 compared to waist circumference OR = 1.97 (95% CI: 1.48–2.66 and other anthropometric measures. Neck circumference showed higher associations with HOMA, low HDL-C, and triglycerides, multivariable OR = 8.42 (95% CI: 5.43–13.06, 2.41 (95% CI: 1.80–3.21, and 1.52 (95% CI: 1.14–2.03, but weaker associations with hs-CRP and hypertension, OR = 3.61 (95% CI: 2.66–4.90 and OR = 2.58 (95% CI: 1.90–3.49, compared to waist circumference. AIC for model fit was generally similar for neck or waist circumference. Neck circumference showed similar or better associations with metabolic factors and is more practicable than waist circumference. Hence, neck circumference may be a better alternative to waist circumference.

  12. The prognostic value of pre-operative serum tetranectin, CA-125 and a combined index in women with primary ovarian cancer

    DEFF Research Database (Denmark)

    Høgdall, Claus K; Nørgaard-Pedersen, Bent; Mogensen, Ole

    2002-01-01

    no significant value was found for CA125 by univariate statistics. In the Cox analyses, FIGO stage was the strongest and TN the second most prognostic variable, followed by age. CA125, Index1 and tumor types were of no prognostic value. The strongest prognostic value for TN was found at the cut-off level 8.2 mg...... cancer. Evaluation was by univariate life-tables analyses and the multivariate Cox analysis. In the Cox analyses, the variables were tested respectively in actual values and as dichotomy variables with different cut-off levels: 6.7, 7.3 and 8.2 mg/l for TN, 35, 65, 100 and 165 U/ml for CA125. RESULTS......: In stages I+II only CA125 was found to be significantly prognostic, whereas TN was of no prognostic value by univariate statistics. For stages III+IV patients significantly better survivals were found for patients with TN levels above the respective cut-offs compared to patients with low TN levels, whereas...

  13. 辨认和控制能力精神医学评定量表划界标准与实证效度%Cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity in crime

    Institute of Scientific and Technical Information of China (English)

    李毅; 高北陵; 胡峰; 李学武; 王轶; 吴冬凌

    2014-01-01

    目的 检验辨认和控制能力精神医学评定量表(Psychiatric Assessment Scale of Cognitive and Volition Capacity in crime,PASCVC)的实证效度,并制定全国常模.方法 于2009年8月至2011年12月间在全国七大行政区的十五家司法鉴定机构共收集评定辨认和控制能力的司法精神鉴定案例1 000例,由量表评定者用PASCVC、精神病人限定刑事责任能力评定量表(Diminished Criminal Responsibility Rating Scale,DCRRS)和暴力作案行为人刑事责任能力评定量表(Criminal Responsibility Rating Scale of Violence,CRRSV)进行评分,所有案例均由鉴定人做出辨认和控制能力完全丧失、大部分丧失、部分丧失、小部分丧失、稍有受损和正常的六个等级判断.结果 ①依据频数分布表的结果得出:辨认和控制能力完全丧失的划界分为≤56、大部分丧失为57~ 66、部分丧失为67~76、小部分丧失为77~ 87、稍有受损为88~ 100、正常为≥101.②六级划界分评定的等级划分结果与专家鉴定意见的相关为0.939 (P=0.001).③PASCVC与DCRRS和CRRSV的一致性Kappa值分别为0.838和0.835 (P<0.001).④PASCVC量表评定和专家评定两种方法分别建立判别函数,回代判别量表与专家判断的正确率分别为86.9%和85.1%;两种分级结果的一致性Kappa值为0.857 (P<0.001).结论 该量表具有较好的实证效度,可作为辨认和控制能力司法鉴定的客观评定工具.%Objective To test the cut-off point and empirical validity of psychiatric assessment scale of cognitive and volition capacity for suspects in crime (PASCVC).Methods One thousand of forensic psychiatry cases from fifteen bodies of the seven administrative regions in China were collected for forensic assessment by the three scales of PASCVC,DCRRS and CRRSV in August 2009 to December 201 l.in all cases by the appraiser to make six grade judgment of the cognitive and volition capacity including completely lost

  14. Prognostic value of circulating C-reactive protein levels in patients with non-small cell lung cancer: A systematic review with meta-analysis

    Directory of Open Access Journals (Sweden)

    Ying Jin

    2014-01-01

    Results: Eight eligible studies involved 1649 patients were ultimately identified. Combined HRs suggested that elevated CRP had an unfavorable impact on survival of patients with NSCLC. The HRs (95% CI was 1.55 (1.19-2.01 overall, 1.78 (1.33-2.38 in Asian patients, 1.33 (1.00-1.77 in non-Asian patients, 1.78 (1.47-2.15 in primary resectable NSCLC, 1.28 (0.95-1.73 in primary unresectable NSCLC, 1.78 (1.33-2.38 in group of cut-off value <5 mg/L, 1.33 (1.00-1.77 in group of cut-off value ≥10 mg/L. Conclusions: With the available evidence, CRP might serve as an efficient prognostic indicator in NSCLC. This marker should be taken into consideration in the development of new diagnostic and therapeutic program for NSCLC.

  15. The Circumference and its Age Variation of Rural Adultsin Mindong Languages Group%闽东语族群城市成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    薛虹; 郑连斌; 宇克莉; 胡莹; 王杨; 程智; 时蕊; 邓维

    2013-01-01

    为研究闽东语族群城市成人围度值及其年龄变化特点,采用随机抽样方法,测量福建310例(男151例,女159例)闽东语族群城市成人的头围、颈围、平静胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、臂缩围等12项围度值,分析不同年龄组围度值的变化规律;采用聚类分析方法,对国内的27个族群进行了比较.方差分析结果显示,男性胸围、吸气围、呼气围、上臂围、前臂围、臂缩围等6项围度值和女性头围、胸围、吸气围、呼气围、上臂围、前臂围、臂缩围等7项围度值均存在年龄组间的显著性差异(p<0.05).直线相关分析显示,男性头围与年龄呈负相关,胸围、吸气围、呼气围、腹围、臀围、上臂围、前臂围、臂缩围等与年龄呈正相关;女性颈围、胸围、吸气围、呼气围、腹围、上臂围、臂缩围等与年龄呈正相关,头围和小腿围与年龄成负相关.除大腿围值不存在性别间的显著性差异,其余11项围度值在性别间均存在极显著性差异(p<0.01),并且男性值明显高于女性.研究结果表明闽东语族群城市成人围度值具有中国北亚类型族群的特征.%To study the circumference and its age variation of rural adults in Mindong languages group, this paper used random sampling method to measure the circumferences values of 310 adults (151 males, 159 females) of Mindong languages group, including the circumference of head, neck, chest, chest circumference at inspiration, abdomen, hip, thigh, calf, biceps, forearm, maximum biceps. Analysis the change rule of circumference values of different age groups, and draws a comparison of the circumference values in 27 nationalities in China. The results as followed: 1) the result of variance analysis showed, the male 6, female 7 circumference values, there are significant differences among age groups. 2) A linear correlation analysis showed

  16. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

    Science.gov (United States)

    Gómez-Campos, Rossana; Lee Andruske, Cinthya; Hespanhol, Jefferson; Sulla Torres, Jose; Arruda, Miguel; Luarte-Rocha, Cristian; Cossio-Bolaños, Marco Antonio

    2015-01-01

    The measurement of waist circumference (WC) is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a) compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b) propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old) were assessed. Weight, height, body mass index (BMI), and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders. PMID:26184250

  17. Waist Circumferences of Chilean Students: Comparison of the CDC-2012 Standard and Proposed Percentile Curves

    Directory of Open Access Journals (Sweden)

    Rossana Gómez-Campos

    2015-07-01

    Full Text Available The measurement of waist circumference (WC is considered to be an important means to control overweight and obesity in children and adolescents. The objectives of the study were to (a compare the WC measurements of Chilean students with the international CDC-2012 standard and other international standards, and (b propose a specific measurement value for the WC of Chilean students based on age and sex. A total of 3892 students (6 to 18 years old were assessed. Weight, height, body mass index (BMI, and WC were measured. WC was compared with the CDC-2012 international standard. Percentiles were constructed based on the LMS method. Chilean males had a greater WC during infancy. Subsequently, in late adolescence, males showed values lower than those of the international standards. Chilean females demonstrated values similar to the standards until the age of 12. Subsequently, females showed lower values. The 85th and 95th percentiles were adopted as cutoff points for evaluating overweight and obesity based on age and sex. The WC of Chilean students differs from the CDC-2012 curves. The regional norms proposed are a means to identify children and adolescents with a high risk of suffering from overweight and obesity disorders.

  18. Comparison of Relative Waist Circumference between Asian Indian and US Adults

    Directory of Open Access Journals (Sweden)

    Harpreet S. Bajaj

    2014-01-01

    Full Text Available Background. Relative to Europeans, Asian Indians have higher rates of type 2 diabetes and cardiovascular disease. Whether differences in body composition may underlie these population differences remains unclear. Methods. We compared directly measured anthropometric data from the Chennai Urban Rural Epidemiology Study (CURES survey of southern Indians (I with those from three US ethnic groups (C: Caucasians, A: African Americans, and M: Mexican Americans from NHANES III (Third National Health and Nutrition Examination Survey. A total of 15,733 subjects from CURES and 5,975 from NHANES III met inclusion criteria (age 20–39, no known diabetes. Results. Asian Indian men and women had substantially lower body mass index, waist circumference, hip circumference, waist-to-hip ratio, and body surface area relative to US groups (P values <0.0001. In contrast, the mean (±se waist-weight ratio was significantly higher (P<0.001 in I (men 1.35 ± 0.002 and women 1.45 ± 0.002 than in all the US groups (1.09, 1.21, and 1.14 in A, M, and C men; 1.23, 1.33, and 1.26 in A, M, and C women (se ranged from 0.005 to 0.006. Conclusions. Compared to the US, the waist-weight ratio is significantly higher in men and women from Chennai, India. These results support the hypothesis that Southeast Asian Indians are particularly predisposed toward central adiposity.

  19. 概率截断值对先进轻水堆核电厂应急计划区划分的影响%Impact of Cut-Off Probability on Emergency Planning Zone Sizing for Advanced Light Water Reactors

    Institute of Scientific and Technical Information of China (English)

    黄挺; 曲静原; 曹建主

    2012-01-01

    In 1997, NRC performed an evaluation of emergency planning for the evolutionary and advanced light water reactors, and indicated that no changes to emergency planning (EP) requirements were warranted in the existing technical framework. However, NRC also recognized if the lower probability of severe accidents or the longer time period between accident initiation and release of radioactive material was considered, the changes to EP requirements for advanced light water reactors might be warranted and the emergency planning zone (EPZ) sizing might be reduced. This means that if the accidents which probabilities are lower than a cut-off probability are not considered, there may be a significant impact on the EPZ sizing. AP1000 was selected as an example in this study and the probable impacts of different cut-off probabilities were studied by using MACCS code in accordance with the NUREG-0396 method. The results show that, only if the cut-off probability is higher than the occurrence probability of the accident which has relatively serious consequence and high probability, there will be a significant impact on the EPZ sizing for the advanced light water reactor.%1997年,美国核管会(NRC)在对被动与改进型先进轻水堆的应急计划进行评估后指出,在现有的技术框架下先进轻水堆的应急计划应当保持不变,但也表明如果考虑到严重事故发生概率更低,事故的延迟时间更长,则有可能简化对先进轻水堆的应急计划要求,减小应急计划区.这意味着,如果在事故选择时不考虑低于某一概率截断值的事故,则有可能对先进轻水堆核电厂应急计划区的划分产生较大的影响.本文以AP1000核电机组为例,参考美国NUREG-0396的方法,使用MACCS程序对选取不同事故概率截断值可能产生的影响进行研究.研究结果表明,只有当概率截断值高于某些相对概率较大、而后果较为严重的事故的发生概率时,才会对先进轻水堆应

  20. Relationships between gray matter, body mass index, and waist circumference in healthy adults.

    Science.gov (United States)

    Kurth, Florian; Levitt, Jennifer G; Phillips, Owen R; Luders, Eileen; Woods, Roger P; Mazziotta, John C; Toga, Arthur W; Narr, Katherine L

    2013-07-01

    Obesity and overweight are often defined by the body mass index (BMI), which associates with metabolic and cardiovascular disease, and possibly with dementia as well as variations in brain volume. However, body fat distribution and abdominal obesity (as measured by waist circumference) is more strongly correlated with cardiovascular and metabolic risk than is BMI. While prior studies have revealed negative associations between gray matter tissue volumes and BMI, the relationship with respect to waist circumference remains largely unexplored. We therefore investigated the effects of both BMI and waist circumference on local gray matter volumes in a group of 115 healthy subjects screened to exclude physical or mental disorders that might affect the central nervous system. Results revealed significant negative correlations for both BMI and waist circumference where regional gray matter effects were largest within the hypothalamus and further encompassed prefrontal, anterior temporal and inferior parietal cortices, and the cerebellum. However, associations were more widespread and pronounced for waist circumference than BMI. Follow-up analyses showed that these relationships differed significantly across gender. While associations were similar for both BMI and waist circumference for males, females showed more extensive correlations for waist circumference. Our observations suggest that waist circumference is a more sensitive indicator than BMI, particularly in females, for potentially determining the adverse effects of obesity and overweight on the brain and associated risks to health.

  1. Fish consumption does not prevent increase in waist circumference in European women and men

    DEFF Research Database (Denmark)

    Jakobsen, Marianne U; Due, Karen M; Dethlefsen, Claus

    2012-01-01

    fish consumption and subsequent change in waist circumference. Sex, age and waist circumference at enrolment were considered as potential effect modifiers. Women and men (n 89 432) participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) were followed for a median of 5......·5 years. Mixed-effect linear regression was used to investigate the associations between fish consumption and subsequent change in waist circumference. Among all participants, the average annual change in waist circumference was - 0·01 cm/10 g higher total fish consumption per d (95 % CI - 0·01, 0......·00) and - 0·01 cm/10 g higher fatty fish consumption per d (95 % CI - 0·02, - 0·01), after adjustment for potential confounders. Lean fish consumption was not associated with change in waist circumference. Adjustment for potential over- or underestimation of fish consumption measurements did...

  2. Thigh circumference and risk of heart disease and premature death: prospective cohort study

    DEFF Research Database (Denmark)

    Heitmann, Berit; Frederiksen, Peder

    2009-01-01

    in Denmark. PARTICIPANTS: 1436 men and 1380 women participating in the Danish MONICA project, examined in 1987-8 for height, weight, and thigh, hip, and waist circumference, and body composition by impedance. MAIN OUTCOME MEASURES: 10 year incidence of cardiovascular and coronary heart disease and 12.5 years...... of follow-up for total death. RESULTS: A small thigh circumference was associated with an increased risk of cardiovascular and coronary heart diseases and total mortality in both men and women. A threshold effect for thigh circumference was evident, with greatly increased risk of premature death below...... circumference seems to be associated with an increased risk of developing heart disease or premature death. The adverse effects of small thighs might be related to too little muscle mass in the region. The measure of thigh circumference might be a relevant anthropometric measure to help general practitioners...

  3. A Study on Causes and Types of Abnormal Increase in Infants’ Head Circumference in Kashan/Iran

    Directory of Open Access Journals (Sweden)

    Ahmad TALEBIAN

    2013-08-01

    , Erzen C. Magnetic resonance imaging characteristics of benign macrocephaly in children. J Child Neurol 1999;14(10:678-82.13. Smith R, Leonidas JC, Maytal J. The value of head ultrasound in infants with macrocephaly. Pediatr Radiol 1998;28(3:143-6.14. Day RE, Schutt WH. Normal children with large heads benign familial megalencephaly. Arch Dis Child 1979;54(7:512-7.15. Kumar R. External hydrocephalus in small children. Childs Nerv Syst 2006;22(10:1237-41.16. Rollins JD, Collins JS, Holden KR. United states head circumference growth reference charts: birth to 21 years. J Pediatr 2010;156(6:907-13.17. Medina LS, Frawley K, Zurakowski D, Buttros D, DeGrauw AJ, Crone KR. Children with macrocrania: Clinical and imaging predictors of disorders requiring surgery. AJNR Am J Neuroradiol 2001;22(3:564-70.18. Lorber J, Priestly BL. Children with large heads: a practical approach to diagnosis in 557 children, with special reference to 109 children with megalencephaly. Dev Med Child Neurol 1981;23(4:494-504.19. Zahl SM, Wester K. Routine measurement of head circumference as a tool for detecting intracranial expansion in infants: what is the gain? A nationwide survey. Pediatrics 2008;121(3:e416-20.20. Alvarez LA, Maytal J, Shinnar S. Idiopathic external hydrocephalus: natural history and relationship to benignfamilial macrocephaly. Pediatrics 1986;77(6:901-7.21. Yew AY, Maher CO, Muraszko KM, garton HJ. Longterm health status in benign external hydrocephalus. Pediatr Neurosurg 2011;47(1:1-6.22. Muenchberger H, Assad N, Joy P, Brunsdon R, Shores EA. Idiopathic macrocephaly in the infant: long-term neurological and neuropsychological outcome. Childs Nerv Syst 2006;22(10:1242-48.

  4. [Relation between waist circumference and risk of male lung cancer incidence: a prospective cohort study].

    Science.gov (United States)

    Xie, S H; Wang, G; Guo, L W; Chen, S H; Su, K; Li, F; Chang, S; Feng, X S; Lyu, Z Y; Chen, Y H; Ren, J S; Cui, H; Li, N; Wu, S L; Dai, M; He, J

    2017-02-10

    Objective: To investigate the association between waist circumference and risk of male lung cancer incidence. Methods: Since May 1, 2006, all the male employees including the retirees in Kailuan Group had been recruited into a Chinese Kailuan Male Cohort study. Information on anthropometries including body weight, height and waist circumference were collected at the baseline investigation, as well as information on newly-diagnosed lung cancer cases during the follow-up period. Waist circumference was grouped by quintiles of the population waist circumference distribution and categorized into the following five groups: waist circumference and risk of lung cancer. Results: A total of 105 386 males were recruited in the study, with 739 651.13 person-years of follow-up and an average follow-up period of 7.00 years. By the end of 2014, a total of 707 lung cancer cases were identified in the cohort study. Compared with males having the 80-cm of waist circumference, the hazard ratio (HR) and 95% confidence intervals (CI) of lung cancer were 1.17(0.90-1.52), 0.96(0.74-1.23), 0.94(0.72-1.21) and 0.80(0.63-1.03) for the waist circumference, after adjustment for potential confounding factors including age, education level, smoking status and pack-year amount, alcohol consumption, physical activities, environment for working place and the prevalence on diabetes. The inverse association existed in smokers (≥95 cm compared to 80-cm of waist circumference: HR=0.69, 95%CI: 0.48-0.99) and alcohol drinkers (≥95 cm compared to 80-cm of waist circumference: HR=0.65, 95%CI: 0.45-0.94) when analysis was conducted in subgroups stratified by smoking or alcohol drinking status. Conclusion: Waist circumference might be inversely associated with male lung cancer risk.

  5. Waist circumference cutoff points for central obesity in the Korean elderly population.

    Science.gov (United States)

    So, Eun Sun; Yoo, Kwang Soo

    2015-02-01

    The aim is to determine the appropriate cutoff values of waist circumference (WC) for an increased risk of the metabolic syndrome in the Korean elderly population. We analyzed the WC cutoff values of four groups divided according to sex and age with a total of 2,224 elderly participants aged 65 years old and above from the Fourth Korean National Health and Nutrition Examination Survey using the receiver operating characteristic curve and multiple logistic regression. The WC cutoff values associated with an increased risk of metabolic syndrome were 89.6 cm for men and 90.5 cm for women for those who were 65 to 74 years old, and 89.9 cm for men and 87.9 cm for women for those who were 75 years old or older. WC cutoff points for estimating metabolic risk are similar in elderly men and women. Age-specific optimal WC cutoff points should be considered especially for elderly women in screening for metabolic syndrome.

  6. Approaches for predicting long-term sickness absence. Re: Schouten et al. "Screening manual and office workers for risk of long-term sickness absence: cut-off points for the Work Ability Index".

    Science.gov (United States)

    van Amelsvoort, Ludovic Gpm; Jansen, Nicole W H; Kant, I Jmert

    2015-05-01

    an overestimation of the predictive value. A methodological approach of related issues is provided in the works of Glymour et al (5) and Hamilton et al (6). This phenomenon is even more clearly illustrated by the predictive properties of the workability index, as described by Alavinia et al (7, page 328), which reported that "when adjusted for individual characteristics, lifestyle factors, and work characteristics, two dimensions of the WAI were significant predictors for both moderate and long durations of sickness absence: (i) the presence of sickness absence in the past 12 months prior to the medical examination and (ii) experienced limitations due to health problems." So, when applied to the study by Schouten et al (1), this means that most of the predictive value would be related to the factors "sickness absence in the past 12 months". In addition, we object to the use of the term "screening" in the Schouten et al study as it includes workers with the intended outcome (long-term sickness absence). One can identify three separate aims to study the longitudinal association between risk factors and subsequent long-term sickness absence: (i) to establish causal risk factors for long-term sickness absence, often to find clues for primary preventive strategies (beyond the scope here); (ii) to identify high-risk workers who are still at work and might benefit from an intervention before sickness absence occurs (secondary prevention); and (iii) to identify workers on sick leave who might suffer a below-average return-to-work rate or have a high risk for the recurrence of (long-term) sickness absence and might benefit from intensification or optimization of the return-to-work process (tertiary prevention). In this light, one needs to separate screening instruments from predictive instruments and reserve the term "screening" for the situation as defined by Wilson and Junger (8, page 7): "The object of screening for disease is to discover those among the apparently well

  7. Association of lipid profile and waist circumference as cardiovascular risk factors for overweight and obesity among school children in Qatar

    Directory of Open Access Journals (Sweden)

    Rizk NM

    2012-12-01

    Full Text Available Nasser M Rizk, Mervat YousefHealth Sciences Department, College of Arts and Sciences, Qatar University, Doha, QatarBackground: Childhood obesity is a national as well as worldwide problem. The aim of this study was to evaluate the association of overweight and obesity among Qatari children with lipid profile and waist circumference as adverse cardiovascular risk factors in children aged 6–11 years. International Obesity Task Force reference values were used to screen for overweight and obesity.Methods: A cross-sectional study in a randomly selected sample was conducted in 315 Qatari primary school students aged 6–11 years. Anthropometric measurements, including body weight, height, waist circumference, and body mass index were calculated for 151 girls and 164 boys. Weight categories were based on International Obesity Task Force reference values. Fasting blood glucose, total cholesterol, high-density lipoprotein cholesterol (HDL-C, low-density lipoprotein cholesterol (LDL-C, and triglycerides were measured, and atherogenic index was calculated.Results: In total, 31.71% of boys and 32.78% of girls were overweight or obese. Overweight and obese children screened against International Obesity Task Force reference values had a significantly increased risk of high waist circumference (P < 0.0001, hypertriglyceridemia (P = 0.002, low HDL-C (P = 0.017, and atherogenic index (P = 0.021 compared with children who were not overweight or obese. The partial correlation coefficient for the cardiovascular risk marker of waist circumference indicated a positive significant association with total cholesterol (r = 0.465, P = 0.003, triglycerides (r = 0.563, P < 0.001, and LDL-C (r = 0.267, P = 0.003, and a significant negative association with HDL-C (r = −0.361, P = 0.004. Overweight and obesity significantly increase the odds ratios (ORs and 95% confidence interval (CIs of cardiovascular risk factors as follows: hypertriglyceridemia (OR 6.34, CI 2.49–13

  8. The Diagnostic Value of Pressure Algometry for Temporomandibular Disorders

    Directory of Open Access Journals (Sweden)

    Włodzimierz Więckiewicz

    2015-01-01

    Full Text Available The aim of this study is to determine the diagnostic value of pressure algometry in temporomandibular disorders. Two hundred volunteers aged 19.3 to 27.8 (mean 21.50, SD 0.97 participated in this study. An analogue pressure algometer was used for the evaluation of muscle tenderness of the following masticatory muscles: superficial and deep parts of the masseter muscle; anterior and posterior parts of the temporal muscle; and the tissues adjacent to the lateral and dorsal part of the temporomandibular joint capsule. Each patient described the algometry result for the individual components of the masticatory motor system, by selecting each time the intensity of pain on a 100 mm Visual Analogue Scale (VAS ruler. The area under the receiver operating characteristic (ROC curve, indicating the discriminatory efficiency for asymptomatic subjects and patients with temporomandibular dysfunction according to the dysfunction Di index, was the largest for the mean pain value (AUC = 0.8572; SEM = 0.0531. The 7.4 VAS cut-off point marked 95.3% specificity for this variable in identifying healthy subjects and 58.4% sensitivity in identifying patients with symptoms of dysfunctions (accuracy 68.1%. Assuming comparable sensitivity (74.9% and specificity (74.2% for a diagnostic test, there was test accuracy of 74.5% at the 4.2 VAS cut-off point.

  9. CALF CIRCUMFERENCE AT BIRTH: A SCREENING METHOD FOR DETECTION OF LOW BIRTH WEIGHT

    Directory of Open Access Journals (Sweden)

    Sandip Kumar

    2013-01-01

    Full Text Available Background: Low Birth Weight (LBW babies run a higher risk of morbidity and mortality in the perinatal period. However, in our country where almost 70-80% births take place at home and peripheral hospitals, taking accurate weight is a problem due to unavailability of weighing scale and trained personnel. Hence there is a constant search for newer methods to detect LBW babies so that early interventions can be instituted. Various authors have used different surrogate anthropometric measurements from different parts of our country. In the present study, an attempt was made to validate the feasibility of using calf circumference as a predictor of LBW babies that can be used by a trained or untrained person. Objectives: To study various anthropometric measurements including calf circumference in newborns and to correlate various measurements with birth weight. Methods: The present study was conducted in the department of Social & Preventive Medicine, MLB Medical College, Jhansi (UP for a period of one year. The study included 1100 consecutively delivered neonates in the maternity ward of MLB Medical College Hospital, Jhansi (UP. The birth weight (Wt, crown heel length (CHL, crown rump length (CRL, head circumference (HC, chest circumference (CC, mid arm circumference (MAC, thigh circumference (TC and calf circumference (CC by standard techniques. All the measurements were taken by a single person throughout the study period with in 24 hours of delivery. Standard statistical methods were adopted for determination of critical limit, sensitivity, specificity and correlation coefficient of different anthropometric measurements in relation to birth weight. Results: Analysis of data indicates that out of 1100 newborns, 55.64% were low birth weight. The percentage of newborns > 2500gm was 44.36. Overall average birth weight was 2348 ± 505gm. Out of 1100 newborns, 608 (55.27% were males and 492 (44.73% were females. Average birth weight for males was 2412

  10. Higher Household Income and the Availability of Electronic Devices and Transport at Home Are Associated with Higher Waist Circumference in Colombian Children: The ACFIES Study

    Directory of Open Access Journals (Sweden)

    Diego Gómez-Arbeláez

    2014-02-01

    Full Text Available Background: The current “epidemic” of childhood obesity is described as being driven by modern lifestyles with associated socioeconomic and environmental changes that modify dietary habits, discourage physical activity and encourage sedentary behaviors. Objective: To evaluate the association between household income and the availability of electronic devices and transport at home, and the values of waist circumference (WC, as an indicator of abdominal obesity, in children and adolescents from Bucaramanga, Colombia. Methods: Cross-sectional study of public elementary and high school population, of low-middle socioeconomic status. Results: A total of 668 schoolchildren were recruited. After adjusting for potential confounders, significant positive associations between waist circumference and higher household income (p = 0.011, and waist circumference and the availability of electronic devices and transport at home (p = 0.026 were found. Conclusions: In low-middle socioeconomic status schoolchildren in a developing country, those from relatively more affluent families had greater waist circumference, an association that is opposite to that observed in developed countries. This finding could be related to higher income family’s ability to purchase electronic devices and motorized transport which discourage physical activity and for their children to buy desirable and more costly western fast food.

  11. Long-term exposure to residential traffic noise and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Christensen, Jeppe S.; Raaschou-Nielsen, Ole; Tjønneland, Anne

    2015-01-01

    : We aimed to investigate the association between long-term residential traffic noise and changes in adiposity. MATERIALS AND METHODS: The study was based on 39,720 middle-aged Danish men and women from a cohort, with information on weight and waist circumference at two points in time. Residential...... circumference. For example, time-weighted mean exposure 5-years preceding follow-up was associated with a yearly weight gain of 15.4g (95% confidence interval (CI): 2.14; 28.7) and a yearly increase in waist circumference of 0.22mm (95% CI: 0.018; 0.43) per 10dB. Similarly, in Poisson regression models we found...... circumference. We found baseline BMI (pwaist circumference (p=0.001) to be significant effect modifiers for the association between road traffic noise and waist circumference, with gain in waist circumference only among the obese (BMI≥30) participants (1.20mm/year (95% CI: 0.68; 1...

  12. Coronary heart disease incidence in women by waist circumference within categories of body mass index.

    Science.gov (United States)

    Canoy, Dexter; Cairns, Benjamin J; Balkwill, Angela; Wright, F Lucy; Green, Jane; Reeves, Gillian; Beral, Valerie

    2013-10-01

    High body mass index (BMI) and large waist circumference are separately associated with increased coronary heart disease (CHD) risk but these measures are highly correlated. Their separate associations with incident CHD, cross-classifying one variable by the other, are less investigated in large-scale studies. We examined these associations in a large UK cohort (the Million Women Study), which is a prospective population-based study. We followed 496,225 women (mean age 60 years) with both waist circumference and BMI measurements who had no vascular disease or cancer. Adjusted relative risk and 20-year cumulative CHD incidence (first coronary hospitalization or death) from age 55 to 74 years were calculated using Cox regression. Plasma apolipoproteins were assayed in 6295 randomly selected participants. There were 10,998 incident coronary events after mean follow up of 5.1 years. Within each BMI category (waist circumference; within each waist circumference category (waist circumference waist circumference ≥80 cm, with 1 in 8 (95% confidence interval 1 in 7 to 9) women developing CHD over the same period. Similar associations for apolipoprotein B to A1 ratio across adiposity categories were observed, particularly in non-obese women. Our conclusions were that both waist circumference and BMI are independently associated with incident CHD.

  13. Relationship Between Neck Circumference and Epicardial Fat Thickness in a Healthy Male Population

    Science.gov (United States)

    Küçük, Uğur; Küçük, Hilal Olgun; Cüce, Ferhat; Balta, Sevket

    2016-01-01

    Background: Epicardial fat is an upper body visceral fat depot that may play a significant role in the development of adverse metabolic and cardiovascular risk profiles. There is a significant direct relationship between the amount of epicardial fat and general body adiposity (body mass index, BMI), but data regarding subcutaneous adiposity is limited. Objective: We conducted a study to determine the association between neck circumference and epicardial fat thickness in healthy young male individuals, and assess their individual correlations with general body adiposity and cardiometabolic risk factors. Methods: One hundred consecutive male patients aged 18 years or older with no known major medical conditions were included in the study. All participants underwent detailed physical examination including measurement of blood pressure, weight, height, waist/hip ratio, and neck circumference. Blood was collected to determine fasting glucose and lipid parameters. A standard echocardiographic examination was performed with additional epicardial fat thickness determination. Results: Among 100 study participants, neck circumference correlated significantly with weight, waist circumference, BMI, blood glucose, serum total cholesterol, low-density (LDL)-cholesterol, and triglycerides levels. No significant correlation was found between neck circumference and high-density lipoprotein (HDL)-cholesterol levels. Neck circumference correlated moderately and positively with echocardiographic epicardial fat thickness. Conclusion: Among patients with low cardiometabolic risk, increased neck circumference was associated with increased epicardial fat thickness. PMID:27509093

  14. Detection of occult vertebral fractures by quantitative assessment of bone marrow attenuation values at MDCT

    Energy Technology Data Exchange (ETDEWEB)

    Henes, Frank Oliver, E-mail: f.henes@uke.de [Department of Diagnostic and Interventional Radiology, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg (Germany); Groth, Michael [Department of Diagnostic and Interventional Neuroradiology, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg (Germany); Kramer, Harald [Department of Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistr. 15, 81377 Munich (Germany); Department of Radiology, University of Wisconsin – Madison, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792 (United States); Schaefer, Christian [Department of Trauma-, Hand- and Reconstructive Surgery, Spine Center, Center for Surgical Sciences, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg (Germany); Regier, Marc; Derlin, Thorsten; Adam, Gerhard; Bannas, Peter [Department of Diagnostic and Interventional Radiology, Center for Radiology and Endoscopy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg (Germany)

    2014-01-15

    Objectives: To determine a cut-off value of Hounsfield attenuation units (HU) at multidetector computed tomography (MDCT) for valid and reliable detection of bone marrow oedema (BME) related to occult vertebral fractures. Methods: 36 patients underwent both MDCT and Magnetic Resonance Imaging (MRI) for evaluation of vertebral fractures of the thoracolumbar spine and were included in this retrospective study. Two readers independently assessed HU values at MDCT in a total of 196 vertebrae. Reliability was assessed by intraclass correlation coefficient and Bland–Altman analysis. For each patient we determined the vertebra with the lowest HU value and calculated the HU-difference to each other vertebral body. HU-differences were subjected to receiver operating characteristic (ROC) curve analysis to determine the diagnostic accuracy for detection of BME as determined by MRI, which served as the reference standard. Results of HU-measurements were compared with standard visual evaluation of MDCT. Results: HU measurements demonstrated a high interrater reliability (ICC = 0.984). ROC curve analysis (AUC = 0.978) exhibited an ideal cut-off value of 29.6 HU for detection of BME associated with vertebral fractures with an accuracy of 97.4% as compared to 93.4% accuracy of visual evaluation. Particularly, HU-measurements increased the sensitivity for detection of vertebral fractures from 78.0% to 92.7% due to the detection of 7 of 9 occult fractures that were missed by visual evaluation alone. Conclusions: Assessing bone marrow density by HU measurements using the cut-off of 29.6 HU is a valid and reliable tool for detection of BME related to occult vertebral fractures in MDCT. The introduced technique may allow more accurate treatment decisions and may make further diagnostic work-up with MRI unnecessary.

  15. On the Cut-off Point for Combinatorial Group Testing

    DEFF Research Database (Denmark)

    Fischer, Paul; Klasner, N.; Wegener, I.

    1999-01-01

    The following problem is known as group testing problem for n objects. Each object can be essential (defective) or non-essential (intact). The problem is to determine the set of essential objects by asking queries adaptively. A query can be identified with a set Q of objects and the query Q is an...

  16. Man Cuts Off Penis in Fit of Religious Fervor

    Institute of Scientific and Technical Information of China (English)

    朱土英

    2002-01-01

    一位菲律宾的男子自残,用利刃割下了自己的阳物。主要原因是其妻离他而去。到首都马尼拉去做保姆(housemaid)了。他想象自己的阳物正像眼镜蛇一样逼近其他女性(his penis as a"cobra"(眼镜蛇)drawing him towardwomen),而《马太福音》曾云:If your hand or your foot causes you to sin,cut it offand throw it away.于是,此君对自己下了“毒手”。可幸的是,手术成功,割下的阳物又被接上。只是短了20%……

  17. Jealous Wife Cuts Off Husband’s Testicle

    Institute of Scientific and Technical Information of China (English)

    杨芳

    2001-01-01

    本文提供了一个有用的表达:extra-marital affair(婚外恋),本文提供了一个惊人的案例:香港一女子把不忠诚的丈夫的一个睾丸割掉了,本文还提供了一个不争的事实:婚外恋苦人害己!】

  18. [ANTHROPOMETRIC PARAMETERS' CUT-OFF POINTS FOR DIAGNOSIS OF SARCOPENIA].

    Science.gov (United States)

    Canda Moreno, Alicia S

    2015-08-01

    Introducción: la sarcopenia es un síndrome caracterizado por baja masa muscular junto con pérdida de fuerza y/o disminución del rendimiento físico. Debido al envejecimiento de nuestra población, se ha producido un aumento de su prevalencia relacionada con la edad, a la que se suman otros factores causados por ciertas enfermedades o la malnutrición. Objetivo: ofrecer una herramienta para el diagnóstico de sarcopenia que determine de forma accesible la pérdida de masa muscular. Material y métodos: se realizó un protocolo antropométrico estandarizado en 883 varones y 506 mujeres, sanos y activos, de edad entre 20 y 39 años. Se calcularon los siguientes índices de desarrollo muscular: perímetros (brazo, antebrazo, muslo y pierna), perímetros corregidos (brazo, muslo y pierna), áreas musculares transversales (CSA de brazo, muslo y pierna) y masa muscular total (kg), en porcentaje (%) y relativa a la talla (kg/m2) mediante la ecuación de Lee. Se fijó como punto de corte el percentil 2,5 (rango inferior del 95% del intervalo de confianza) para las variables estudiadas. Resultados: se encontraron diferencias significativas (p muscular fue en varones de 9,1 kg/m2, y en mujeres de 7,3 kg/m2. Y para las CSA (cm2) varón vs. mujer: brazo, 37,7 vs. 24,2; muslo, 154,3 vs. 115,8; y pierna, 78,8 vs. 60,2. Conclusiones: existe dimorfismo sexual que exige criterios diagnósticos diferenciados. La técnica antropométrica puede servir como screening de sarcopenia en el estudio de grandes poblaciones.

  19. New oral cut-off time limits in NSW.

    Science.gov (United States)

    Nittis, Maria; Franco, Michele; Cochrane, Clint

    2016-11-01

    Standard collection procedure for the investigation of allegations of penile - oral assault has traditionally been the oral swab. Review of both the literature and NSW forensic laboratory results from oral swabbing has highlighted the sub-optimal nature of this method for the recovery of both sperm and offender DNA. 554 oral swabs, collected in NSW from 2010 to 2015, were analysed. Sperm detection occurred in only 4.2%. In the same period there was analysis of 104 oral rinses (of which 16.4% were positive for sperm) and 71 peri-oral samples (of which 18.3% were positive for sperm). As a result, a decision was made to revise forensic collection guidelines for sample collection in cases of penile - oral assault. Oral swabbing is no longer recommended. Current NSW forensic collection guidelines recommend the collection of both an oral rinse and a peri-oral (lip) swab. Samples are to be taken in the first 12 h after a penile - oral assault in all cases where there is a suspicion of oral assault. Oral collections may be extended to 24 h post penile - oral assault in those cases where there is either a clear recollection of ejaculation into the mouth (or ejaculation elsewhere prior to penile penetration of the mouth) or in those cases where a complainant is clear that there had been penile penetration of the mouth but is unable to recall whether or not ejaculation has taken place.

  20. Characteristics Of Fused Couplers Below Cut-Off

    Science.gov (United States)

    Meyer, T. J.; Tekippe, V. J.

    1989-02-01

    A number of different architectures are being explored for the utilization of optical fiber in the subscriber loop. In addition to reliability and maintainability, cost is a prime consideration since full implementation of fiber in the local loop will not occur until it is economically viable. It is becoming increasingly clear that in order to accommodate a number of ISDN applications, including high definition television (HDTV), singlemode fiber with a singlemode laser at the terminal end will be required. The situation at the subscriber end is quite different, however. The data rates are expected to be low on the return path to allow for POTS ( plain old telephone service) and some data transfer. When this requirement is combined with cost and reliability considerations, the inexpensive lasers developed for the CD (compact disk) market become quite attractive. The biggest disadvantage of this source is that the fiber which is optimized for singlemode operation at 1300nm tends to be multimode in the 800nm band where these lasers operate. Previous papers have considered such effects as modal noise and pulse dispersion when using these lasers with fiber that is singlemode in the 1300nm band.[1] Another consideration is the passive components required to implement such an architecture. Figure 1 shows a typical bidirectional design with full duplex operation on a single fiber. The key component is the 800/1300 wavelength division multiplexer/demultiplexer (WDM). Because of the multimode nature of the fiber in the 800nm band, all fiber approaches to fabricating the WDM, such as the fused beconical taper (FBT) approach, raise new issues which are not encountered, for example, with 1300/1500nm WDM's.[2] In this paper we discuss the effects of the multimode behavior of the fiber on the performance of fused couplers and WDM's.

  1. How to preserve symmetries with cut-off regularized integrals?

    CERN Document Server

    Varin, T; örtel, M; Urban, M

    2006-01-01

    We present a prescription to calculate the quadratic and logarithmic divergent parts of several integrals employing a cutoff in a coherent way, i.e. in total agreement with symmetry requirements. As examples we consider one-loop Ward identities for QED and a phenomenological chiral model.

  2. Relação da cintura abdominal com a condição nutricional, perfil lipídico e pressão arterial em pré-escolares de baixo estrato socioeconômico Relationship between waist circumference and nutritional status, lipid profile and blood pressure in low socioeconomic level pre-school children

    Directory of Open Access Journals (Sweden)

    Roseli Saccardo Sarni

    2006-08-01

    Full Text Available OBJETIVO: Avaliar o diagnóstico nutricional, o perfil lipídico, os níveis pressóricos e a medida de cintura em pré-escolares. Pretende-se ainda verificar se a medida de cintura está associada com índices antropométricos usuais no diagnóstico nutricional, perfil lipídico e pressão arterial em crianças obesas e eutróficas. MÉTODOS: Estudo transversal realizado com 65 pré-escolares de baixo estrato socioeconômico, em escola municipal de Santo André. As avaliações clínico-laboratoriais consistiram em: medida de PA (Task Force, 1996, peso (P e estatura (E expressos como escore z (OMS, 1995 e IMC (índice de massa corpórea; níveis séricos de triglicérides, colesterol total e frações (VLDL-c, HDL-c, LDL-c (Kwiterowich e AHA. Análise estatística: Teste exato de Fisher e correlação. RESULTADOS: Observamos alto porcentual de inadequação da PA e lipídios séricos, independentemente da condição nutricional. A medida de cintura mostrou correlação positiva e significante com IMC e ZPE (r = 0,87 e r = 0,83; p OBJECTIVE: To evaluate anthropometric data, blood lipid levels, blood pressure (BP and waist circumference (WC in preschool children. To relate WC with blood lipid levels and BP in obese and non-obese children. METHODS: In a transversal study we investigated 65 preschool children of low socioeconomic level in Santo André, São Paulo. The evaluation consisted of BP measurement (Task Force, 1996, weight (W, height (H expressed as z score (WHO,1995 and body mass index (BMI, triglycerides, total and fractions of cholesterol blood levels (Kwiterovich and AHA. Statistical analysis: Fisher test and correlations. RESULTS: We observed high BP and lipid levels unrelated to nutritional status. WC was significantly and positively correlated to BMI and ZWH (r = 0,87 and r = 0,83, respectively. Using as a cut-off 75 percentile of WC we found an accuracy of 89,1% with 87,2% specificity and 70,6% sensitivity and predictive value

  3. Value of transient elastography for the prediction of variceal bleeding

    Institute of Scientific and Technical Information of China (English)

    Ioan Sporea; Iulia Ra(t)iu; Roxana (S)irli; Alina Popescu; Simona Bota

    2011-01-01

    AIM: To determine if liver stiffness (LS) measurements by means of transient elastography (TE) correlate with the presence of significant esophageal varices (EV) and if they can predict the occurrence of variceal bleeding. METHODS: We studied 1000 cases of liver cirrhosis divided into 2 groups: patients without EV or with grade 1 varices (647 cases) and patients with significant varices (grade 2 and 3 EV) (353 cases). We divided the group of 540 cases with EV into another 2 subgroups: without variceal hemorrhage (375 patients) and patients with a history of variceal bleeding (165 cases). We compared the LS values between the groups using the unpaired t-test and we established cut-off LS values for the presence of significant EV and for the risk of bleeding by using the ROC curve. RESULTS: The mean LS values in the 647 patients without or with grade 1 EV was statistically significantly lower than in the 353 patients with significant EV (26.29 ± 0.60 kPa vs 45.21 ± 1.07 kPa,P < 0.0001). Using the ROC curve we established a cut-off value of 31 kPa for the presence of EV,with 83% sensitivity (95% CI: 79.73%-85.93%) and 62% specificity (95% CI: 57.15%-66.81%),with 76.2% positive predictive value (PPV) (95% CI: 72.72%-79.43%) and 71.3% negative predictive value (NPV) (95% CI: 66.37%-76.05%) (AUROC 0.7807,P < 0.0001). The mean LS values in the group with a history of variceal bleeding (165 patients) was statistically significantly higher than in the group with no bleeding history (375 patients): 51.92 ± 1.56 kPa vs 35.20 ± 0.91 kPa,P < 0.0001). For a cut-off value of 50.7 kPa,LS had 53.33% sensitivity (95% CI: 45.42%-61.13%) and 82.67% specificity (95% CI: 78.45%-86.36%),with 82.71% PPV (95% CI: 78.5%-86.4%) and 53.66% NPV (95% CI: 45.72%-61.47%) (AUROC 0.7300,P < 0.0001) for the prediction of esophageal bleeding. CONCLUSION: LS measurement by means of TE is a reliable noninvasive method for the detection of EV and for the prediction of variceal bleeding.

  4. Circumference and its variation of Shanxi Han nationality adults with age in countryside%山西乡村汉族成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 国海; 陈琛; 曹瑜

    2011-01-01

    Objective:To collect the data of body circumferences in Shanxi Han individuals, thereafter, to under stand their changs with aging. Methods: Based on the measurement of the circumferences of 303 rural adults (150 males, 153 females) of Shanxi Han nationality (including the circumference of head, neck,chest,abdomen, upper arm, forearm, maximum biceps, thigh, calf, hip, chest circumference at inspiration, chest circumference at expiration), the paper gave an analysis of the changes of circumference value with age, and then draws a comparison of the circumference values between Shanxi Han nationality and other 19 nationalities in China. Results: (1) Along with increasing of age, male chest circumference, chest circumference at inspiration, chest circumference at expiration increased Head circumference, thigh circumference, calf circumference, grith of forearm, biceps contract circumference decreased. Girth of upper arm, biceps contract circumference, trunk circumference enlarged in female, but thigh circumference in contrast The absolute changing value of trunk circumference was obviously. The changes of females were close to males. (2) Males indexes were larger than females, except for the circumference of thigh and hip. The circumference values of hip in female and abdomen in males were changed obviously with age. (3) The six circumference values of male and female were significantly higher than various ethnic groups of the South Asian type of Mongoloid. Compare the rural of Shanxi Han nationality with various ethnic groups of the North Asian type of Mongoloid, the rural of Shanxi Han nationality were higher in girth of chest, girth of thigh and girth of the calf, medium the circumference of horizontal head. Conclusion-. The results show that the rural of Shanxi Han nationality were close to the rural of Shandong Han nationality and Tatar nationality, and belongs to the North Asian type of Mongoloid%目的:了解山西汉族围度资料及其年龄变化特征.方

  5. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, Janne S; Halkjaer, Jytte; Heitmann, Berit Lilienthal

    2008-01-01

    BACKGROUND: Cross-sectional studies have reported a lower prevalence of abdominal obese persons among frequent drinkers than among nonfrequent drinkers. OBJECTIVE: We tested the hypothesis that drinking frequency is associated with subsequent changes in waist circumference. DESIGN: Data come from...... a prospective cohort study conducted in 1993-1997 (baseline) and 1999-2002 (follow-up) and included 43 543 men and women. Baseline information on alcohol drinking frequency was related to 1) change in waist circumference by linear regression and 2) major gain and major loss in waist circumference (defined...... as waist change in the lowest or highest quintile of waist changes) by polytomous logistic regression, also taking into account amount of alcohol intake. RESULTS: Drinking frequency was inversely associated with changes in waist circumference in women and was unassociated with changes in waist...

  6. Variation in genes related to hepatic lipid metabolism and changes in waist circumference and body weight

    DEFF Research Database (Denmark)

    Meidtner, Karina; Fisher, Eva; Angquist, Lars

    2014-01-01

    ) and changes in weight and waist circumference. We also investigated effect modification by sex and dietary intake. Data of 6,287 individuals participating in the European prospective investigation into cancer and nutrition were included in the analyses. Data on weight and waist circumference were followed up...... for 6.9 ± 2.5 years. Association of 69 tagSNPs with baseline BMI and annual changes in weight as well as waist circumference were investigated using linear regression analysis. Interactions with sex, GI and intake of carbohydrates, fat as well as saturated, monounsaturated and polyunsaturated fatty...... acids were examined by including multiplicative SNP-covariate terms into the regression model. Neither baseline BMI nor annual weight or waist circumference changes were significantly associated with variation in the selected genes in the entire study population after correction for multiple testing...

  7. The relation between drinking pattern and body mass index and waist and hip circumference

    DEFF Research Database (Denmark)

    Tolstrup, J S; Heitmann, B. L.; Tjønneland, A M

    2005-01-01

    OBJECTIVES: To study the association between alcohol drinking pattern and obesity. DESIGN: Cross-sectional population study with assessment of quantity and frequency of alcohol intake, waist and hip circumference, height, weight, and lifestyle factors including diet. SUBJECTS: In all, 25 325 men...... and 24 552 women aged 50-65 y from the Diet, Cancer and Health Study, Denmark, 1993-1997 participated in the study. MEASUREMENTS: Drinking frequency, total alcohol intake, body mass index (BMI), and waist and hip circumference. RESULTS: Among men, total alcohol intake was positively associated with high...... BMI (>/=30 kg/m(2)), large waist circumference (>/=102 cm) and inversely associated with small hip circumference (waist (>/=88 cm), and small hips only for the highest intake (28+ drinks/week). The most frequent drinkers had...

  8. Food and drinking patterns as predictors of 6-year BMI-adjusted changes in waist circumference

    DEFF Research Database (Denmark)

    Halkjær, Jytte; Sørensen, Thorkild I A; Tjønneland, Anne

    2004-01-01

    Few studies have investigated the prospective associations between diet or drinking patterns and abdominal obesity; we therefore investigated whether food and beverage groups or patterns predicted 6-year changes in waist circumference (WC) and whether these associations were independent...

  9. Serial fetal abdominal circumference measurements in predicting normal birth weight in gestational diabetes mellitus.

    LENUS (Irish Health Repository)

    Neff, Karl J

    2013-06-24

    To construct a clinical management matrix using serial fetal abdominal circumference measurements (ACMs) that will predict normal birth weight in pregnancies complicated by gestational diabetes (GDM) and reduce unnecessary ultrasound examination in women with GDM.

  10. Waist circumference as a measure for indicating need for weight management.

    OpenAIRE

    Lean, M. E.; Han, T.S.; Morrison, C E

    1995-01-01

    OBJECTIVE--To test the hypothesis that a single measurement, waist circumference, might be used to identify people at health risk both from being overweight and from having a central fat distribution. DESIGN--A community derived random sample of men and women and a second, validation sample. SETTING--North Glasgow. SUBJECT--904 men and 1014 women (first sample); 86 men and 202 women (validation sample). MAIN OUTCOME MEASURES--Waist circumference, body mass index, waist:hip ratio. RESULTS--Wai...

  11. Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis

    OpenAIRE

    Seo, Dong-Chul; Niu, Jingjing

    2015-01-01

    Background Internet-based interventions are more cost-effective than conventional interventions and can provide immediate, easy-to-access, and individually tailored support for behavior change. Waist circumference is a strong predictor of an increased risk for a host of diseases, such as hypertension, diabetes, and dyslipidemia, independent of body mass index. To date, no study has examined the effect of Internet-based lifestyle interventions on waist circumference change. Objective This stud...

  12. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures

    OpenAIRE

    Kaumudi Joshipura; Francisco Muñoz-Torres; José Vergara; Cristina Palacios; Pérez, Cynthia M

    2016-01-01

    This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40–65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS). Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r) and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with wais...

  13. Correlation between Body Mass Index and Waist Circumference in Patients with Metabolic Syndrome

    OpenAIRE

    Marcin Gierach; Joanna Gierach; Marlena Ewertowska; Adam Arndt; Roman Junik

    2014-01-01

    Metabolic syndrome is defined as a group of coexisting metabolic risk factors, such as central obesity, lipid disorders, carbohydrate disorders, and arterial hypertension. According to the 2005 IDF criteria, subsequently revised in 2009, abdominal obesity is identified as the waist circumference of ≥80 cm in women and ≥94 cm in men. It is responsible for the development of insulin resistance. The aim of our study was to demonstrate a correlation between waist circumference (WC) and body mass ...

  14. Heavier smoking may lead to a relative increase in waist circumference

    DEFF Research Database (Denmark)

    Morris, Richard W; Taylor, Amy E; Fluharty, Meg E

    2015-01-01

    in Tobacco and Alcohol (CARTA). PRIMARY OUTCOME MEASURES: Waist and hip circumferences, and waist-hip ratio. RESULTS: The data included up to 66,809 never-smokers, 43,009 former smokers and 38,913 current daily cigarette smokers. Among current smokers, for each extra minor allele, the geometric mean...... was lower for waist circumference by -0.40% (95% CI -0.57% to -0.22%), with effects on hip circumference, waist-hip ratio and body mass index (BMI) being -0.31% (95% CI -0.42% to -0.19), -0.08% (-0.19% to 0.03%) and -0.74% (-0.96% to -0.51%), respectively. In contrast, among never-smokers, these effects...... circumference, 0.02% (-0.05% to 0.08%) for hip circumference and 0.10% (0.02% to 0.19%) for waist-hip ratio, for each extra minor allele. CONCLUSIONS: For a given BMI, a gene variant associated with increased cigarette consumption was associated with increased waist circumference. Smoking in an effort...

  15. Do thigh circumference and mass changes alter knee biomechanics during walking?

    Science.gov (United States)

    Westlake, Carolyn G; Milner, Clare E; Zhang, Songning; Fitzhugh, Eugene C

    2013-03-01

    Obese adults walk with different biomechanics compared to healthy weight adults. Previous studies have focused on knee biomechanics because they are associated with development and progression of osteoarthritis. Changes in thigh mass and circumference that occur as body weight increases may influence gait. The purpose of this study was to determine if increases in thigh mass and circumference alter gait biomechanics. For 20 healthy weight young adults (10 male and 10 female) knee kinematic, kinetic and gait temporospatial variables were collected using a three-dimensional motion capture system and a force platform during over ground walking. Data were collected during control, increased thigh mass, increased thigh circumference, and both increased mass and circumference conditions. Increases in thigh segment parameters reflected changes expected with a 10 point increase in body mass index. Step width was wider during the added circumference and combination conditions compared to the control condition. Increases in thigh circumference associated with obesity increase step width. This suggests the greater step width observed in obese adults compared to healthy weight adults is a result of the physical constraints introduced by their wider thigh segments. Peak knee flexion angle, peak knee extension moment, peak knee adduction angle, and peak knee abduction moment were similar in all conditions. Thus, acute changes in thigh segment parameters did not result in knee biomechanics suggestive of an increased risk of knee osteoarthritis.

  16. Should waist circumference be replaced by index of central obesity (ICO) in definition of metabolic syndrome?

    Science.gov (United States)

    Parikh, R; Mohan, V; Joshi, S

    2012-01-01

    Waist circumference has been widely used as the parameter of central obesity in defining metabolic syndrome. Global consensus definition of metabolic syndrome has suggested various race- and gender-specific cutoffs of waist circumference for quantifying central obesity. We have earlier proposed that using index of central obesity (ICO), the need for race- and gender-specific cutoffs may be obviated. We propose that waist circumference be supplanted with index of central obesity in all definitions of metabolic syndrome. Using index of central obesity a common cutoff of 0.5 applicable across races and genders might be obtained. Moreover, it will enhance the sensitivity of definition by diagnosing subjects who are shorter than general population. Among 258 male and 242 female diabetic patients, subjects with metabolic syndrome (defined as per gender-specific waist circumference cutoffs), were found to have a common lower range of index of central obesity suggesting that a common cutoff of waist circumference may be obtained. In another study from National Health and Nutrition Examination Survey database, replacing index of central obesity with waist circumference was found to enhance the specificity and sensitivity of definition of metabolic syndrome.

  17. A cut-off low in southern South America: dynamic and thermodynamic processes Um caso de vórtice ciclonico desprendido em altos níveis no sul da América do Sul: processos dinâmicos e termodinâmicos

    Directory of Open Access Journals (Sweden)

    Alejandro Anibal Godoy

    2011-12-01

    Full Text Available The dynamic and thermodynamic processes involved in the life cycle of a cutoff low occurred in March 2007 are studied. These processes are analyzed using the vorticity and thermodynamic equations and a set of analyses generated with the BRAMS model. The main processes that explain the segregation of the subtropical part of the trough are the horizontal advection of cyclonic vorticity at high levels and warm horizontal advection at middle levels, both over the Pacific Ocean extending south to the Patagonia region, building the ridge located upstream of the trough. Increased intensity of the upper level low pressure system is mainly explained by intensification of the ridges down and upstream. The divergence effect is opposed to the horizontal advection of vorticity which explains the stagnation of the cut-off low windward of the Andes. The decay stage is dominated by warm vertical advection. Assuming the conservation of potential vorticity the analysis of parcel trajectories , allowed detecting the entrance of stratospheric air to middle levels of the lower troposphere around the cut-off low.Neste trabalho foram estudados os processos dinâmicos e termodinâmicos que envolvem o ciclo de vida de um caso de vórtice ciclônico desprendido em altos níveis, que ocorreu em março de 2007. Tais processos são analisados através dos termos das equações de vorticidade e termodinâmica usando um conjunto de análises geradas com o modelo BRAMS. Os principais processos que explicam o desprendimento da parte subtropical de um cavado são a advecção horizontal da vorticidade anticiclonica em níveis altos e a advecção horizontal de ar quente em níveis médios, ambas sobre o sul do Oceano Pacífico e estendendo-se em direção a região Patagônica, aprofundando a crista localizada corrente acima do cavado. A continuidade do aprofundamento desta crista, juntamente com a crista localizada corrente abaixo do cavado são as responsáveis da intensifica

  18. Correlation between waist and mid-thigh circumference and cardiovascular fitness in Korean college students: a case study.

    Science.gov (United States)

    Ko, Sung-Sik; Chung, Jae-Soon; So, Wi-Young

    2015-09-01

    [Purpose] We investigated whether waist and mid-thigh circumference correlated with cardiovascular fitness (VO2max) in a selected sample of Korean college students. [Subjects and Methods] The subjects were 41 college students (25 males, 16 females; age, > 19 years) who visited the sports medicine laboratory at the Korea National University of Transportation in Chungju-si, Republic of Korea, to undergo measurements of body composition, cardiovascular fitness, and waist and mid-thigh circumference. [Results] VO2max did not correlate with waist circumference or mid-thigh circumference in males, whereas VO2max was negatively correlated with mid-thigh circumference, but not waist circumference, in females. [Conclusion] Mid-thigh circumference was not associated with cardiovascular fitness or waist in male college students. However, it was associated with cardiovascular fitness in female college students. Well-designed studies are needed to investigate this further.

  19. 节段截桥局限漂浮技术治疗胸椎黄韧带骨化症%Segmental cut-off bridge and local floating technology for the treatment of ossification of ligamentum flavum in throracic spine

    Institute of Scientific and Technical Information of China (English)

    梁卫东; 张健; 盛伟斌

    2013-01-01

    Objective To explore the efficacy and safety of segmental cut-off bridge and local floating technology for the treatment of ossification of ligamentum flavum (OLF) in throracic spine.Methods Retrospective study was performed in 98 patients with thoracic OLF who under went operation.There was 56 males and 42 females with an average age of 45.8 (35-73) years.The average duration of onset was 17 (3-51) months.The main clinical symptoms were numbness and paraesthesia (n=90),lower limb weakness and walking trouble (n =46),positive pyramidal tract signs (n =33) and sphincter function obstacle (n =9).OLF was screened and diagnosed by radiology,magnetic resonance imaging (MRI),computed tomography (CT) or CT myelography (CTM).A total of 142 OLF nidus were spotted.The lesions involved single segment (n =32),double segments (n =56),three segments (n =6) and ≥ four segments (n =4).And the locations were at upper throracic segment (T1-4) (n =34),middle throracic segment (T5-8) (n =23) and lower throracic segment (T9-12) (n =42).The OLF nidus were removed by local floating technology off windowing at cephalic and caudal ends and a cut-off bridge at both sides of involved segments.Pre-and post-operative Japanese Orthopedic Association (JOA) scores and Epstein grades were recorded to evaluate the outcomes.Results The mean loss volume of blood was 320 ml and operative duration 155 min.All cases recovered independent activities.The mean follow-up period was 28 (13-48) months.The mean preoperative JOA score was 4.3 (1-8) points and the mean postoperative JOA score 9.7 (5-11) points.The recovery rate was 78.8%.According to Epstein grade,the excellent and good rate was 86.7%.Conclusion As a common cause of thoracic spinal cord compression,OLF should be operated as early as possible.Based upon clinical and imaging findings,the application of segmental cut-off bridge and local floating technology is both safe and efficacious in the treatment of OLF in throracic spine.%目的 探

  20. Fish consumption does not prevent increase in waist circumference in European women and men.

    Science.gov (United States)

    Jakobsen, Marianne U; Due, Karen M; Dethlefsen, Claus; Halkjaer, Jytte; Holst, Claus; Forouhi, Nita G; Tjønneland, Anne; Boeing, Heiner; Buijsse, Brian; Palli, Domenico; Masala, Giovanna; Du, Huaidong; van der A, Daphne L; Wareham, Nicholas J; Feskens, Edith J M; Sørensen, Thorkild I A; Overvad, Kim

    2012-09-01

    Fish consumption is the major dietary source of EPA and DHA, which according to rodent experiments may reduce body fat mass and prevent obesity. However, human studies have suggested that fish consumption has no appreciable association with body-weight gain. We investigated the associations between fish consumption and subsequent change in waist circumference. Sex, age and waist circumference at enrolment were considered as potential effect modifiers. Women and men (n 89 432) participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) were followed for a median of 5·5 years. Mixed-effect linear regression was used to investigate the associations between fish consumption and subsequent change in waist circumference. Among all participants, the average annual change in waist circumference was - 0·01 cm/10 g higher total fish consumption per d (95 % CI - 0·01, 0·00) and - 0·01 cm/10 g higher fatty fish consumption per d (95 % CI - 0·02, - 0·01), after adjustment for potential confounders. Lean fish consumption was not associated with change in waist circumference. Adjustment for potential over- or underestimation of fish consumption measurements did not systematically change the observed associations, but the 95 % CI became slightly wider. The results in subgroups from analyses stratified by sex, age or waist circumference at enrolment were not systematically different. In conclusion, the present study suggests that fish consumption does not prevent increase in waist circumference.

  1. Waist circumference does not predict circulating adiponectin levels in sub-Saharan women

    Directory of Open Access Journals (Sweden)

    Gautier Jean-François

    2007-10-01

    Full Text Available Abstract Background Because of previously reported ethnic differences in determinants and markers of obesity and related metabolic disorders, we sought to investigate circulating levels of adiponectin and their correlates in a sub-Saharan African (sSA population. Subjects and Methods We studied 70 non-diabetic volunteers (33M/37F living in Yaoundé, Cameroon, aged 24–69 yr, with BMI 20–42 kg/m2. In all participants we measured waist circumference and total body fat by bioimpedance, and obtained a fasting venous blood sample for measurement of plasma glucose, serum insulin and adiponectin concentrations. We performed a euglycaemic hyperinsulinaemic clamp in 1/4 subjects, and HOMAIR was used as surrogate of fasting insulin sensitivity index since it best correlates to clamp measurements. Results Males had lower adiponectin levels than females (8.8 ± 4.3 vs. 11.8 ± 5.5 μg/L. There was no significant correlation between adiponectin and total body fat (rs = -0.03; NS, whereas adiponectin was inversely correlated with waist circumference (rs = -0.39; p = 0.001. Adiponectin correlated negatively with insulin resistance (rs = -0.35; p = 0.01. In a regression analysis using fasting adiponectin concentration as the dependent variable, and age, HOMAIR, waist circumference, and fat mass as predictors, waist circumference (β = -3.30; p = 0.002, fat mass (β = -2.68; p = 0.01, and insulin resistance (β = -2.38; p = 0.02 but not age (β = 1.11; p = 0.27 were independent predictors of adiponectin. When considering gender, these relations persisted with the exception of waist circumference in females. Conclusion Adiponectin correlates in this study population are comparable to those observed in Caucasians with the exception of waist circumference in women. The metabolic significance of waist circumference is therefore questioned in sSA women.

  2. Circumference and its Variation with Age of of Han Nationality Adults from Qixian,Shanxi%山西祁县汉族成人围度值及其年龄变化

    Institute of Scientific and Technical Information of China (English)

    李咏兰; 陆舜华; 弓剑; 国海; 陈琛; 曹瑜; 郑思平

    2012-01-01

    用随机抽样法调查了山西祁县303例(男为150例,女为153例)城市汉族成人的头围、颈围、胸围、吸气胸围、呼气胸围、腹围、臀围、大腿围、小腿围、上臂围、前臂围、上臂收缩围等12项围度测量项目,分析了不同年龄组围度值的变化情况,并与国内的19个族群进行了比较.结果表明:(1)随年龄增长,男性头围、颈围变化不大;躯干部的4个围度值逐渐增大,在50-59岁组达到最大;四肢的5个围度值在30-39岁组达到最大.围度的绝对变化值与相对变化率,躯干部的围度变化较为明显.女性12项围度值变化特点与男性相似.(2)性别间比较,男性除臀围、大腿围外,其它10项围度均数都明显高于女性(P<0.01).随着年龄的增长,女性臀围值变化明显,男性腹围值变化明显.(3)男性与女性6项围度值均明显大于我国蒙古人种南亚类型诸族群.与我国北亚类型诸族群比较,山西城市汉族人胸围、大腿围、小腿围值大,头围值中等.(4)聚类分析显示:山西城市汉族与山东城市汉族、塔塔尔族最为接近,具有我国北方族群的体质特征.%Based on the measurement of the circumferences of 303 urban adults (150 males,153females) of Han nationality (including the circumference of head, neck , chest, chest circumference at inspiration, chest circumference at expiration,abdomen, hip, thigh, calf, upper arm, fore-arm, Maximum biceps) from Qixian, Shanxi, the changes of circumference value with age were studied,and the comparison of the circumference values between the Han nationality from Qixian,Shanxi and other 19 nationalities in China was studied by cluster analysis. The results show that: (l)The circumference of head,neck of male have no change with the age increasing;The four circumference values of the trunk gradually increase and the maximum in the 50 - 59 a from a group;The five circumference values of limbs is maximum in the 30 - 39 a group. The

  3. Body mass index, waist circumference and employment: evidence from older Irish adults.

    Science.gov (United States)

    Mosca, Irene

    2013-12-01

    Data from the first wave of the Irish Longitudinal Study on Ageing are used to examine the relationship between fatness and obesity and employment status among older Irish adults. Employment status is regressed on one of the following measures of fatness: BMI and waist circumference entered linearly as continuous variables and obesity as a categorical variable defined using both BMI and waist circumference. Controls for demographic and socioeconomic characteristics, socioeconomic characteristics in childhood and physical, mental and behavioural health are also included. The regression results for women indicate that all measures of fatness are negatively associated with the probability of being employed and that the employment elasticity associated with waist circumference is larger than the elasticity associated with BMI. The results for men indicate that employment is not significantly associated with BMI and waist circumference when these are entered linearly in the regression, but it is significantly and negatively associated with obesity defined either using BMI or waist circumference as categorical variables. The results also indicate that the negative association between obesity and employment status is larger among women. For example, the probability of being employed for the obese category defined using BMI is around 8 percentage points lower for women and 5 percentage points lower for men.

  4. The relationships of waist and mid-thigh circumference with performance of college golfers.

    Science.gov (United States)

    Son, Seungbum; Han, Kunho; So, Wi-Young

    2016-03-01

    [Purpose] Our aim was to evaluate the relationships between waist and mid-thigh circumference, used as proxy measures of trunk and lower limb strengths, respectively, and selected parameters of driver and putting performance in Korean college golfers. [Subjects and Methods] The participants were 103 college golfers (81 male, 20 to 27 years old). Measurements of body composition, waist and mid-thigh circumference, and grip strength, as well as assessment of golf performance, including driver distance, driver swing speed, putting accuracy, and putting consistency, were performed at the golf performance laboratory at Konkuk University in Chungju-si, Republic of Korea. Average round score was obtained from 10 rounds of golf completed during the study period. The relationships between strength measures and golf performance were evaluated by partial correlation analysis, with adjustment for age, golf experience, and body mass index. [Results] Waist circumference did not correlate with any of the performance variables in both males and females. Mid-thigh circumference correlated with putting consistency (r = 0.364) in males and with putting consistency (r = 0.490) and accuracy (r = 0.547) in females. No other significant correlations between waist and mid-thigh circumference and golf performance were identified. [Conclusion] Lower limb strength may be an important component of putting performance. Further studies are needed to fully characterize the contributions of trunk strength to performance.

  5. 河南乡村汉族成人身体围度特征分析%Analysis on Body Circumference of Han Nationality Adults in Henan Countryside

    Institute of Scientific and Technical Information of China (English)

    侯俊然; 徐国昌; 席焕久; 任甫; 杨雷; 陈志国

    2013-01-01

    随机抽查1 000名河南乡村汉族成人,对其头围、颈围、胸围、吸气胸围、呼气胸围、上臂围、前臂围、上臂最大围、腹围、臀围、大腿围和小腿围进行测量,利用SPSS 11.5对数据进行分析.结果表明:男性与女性12项围度值大小顺序一致;男性头围、颈围、前臂围、上臂最大围和小腿围均大于女性,差异显著(P<0.01);男性与女性围度值聚类于北方族群,明显大于南方族群;河南乡村汉族与山西乡村汉族、清原满族最为接近,具有北亚类型族群的体质特征.%1000 Henan Han adults were chosen by random sampling to investigate 12 items of body circumference,including the head,neck,chest,biceps,forearm,abdominal,hip,thigh,calf,biceps contrant,chest circumference at inspiration and chest circumference at expiration.Statistics analysis by SPSS 11.5showed that the order of size of the 12 body circumferences was same for male and female and the head,neck,forearm,biceps contract and calf circumference of male were significantly larger than that of female.Cluster analysis revealed that the male and female circumference values were clustered in the Northern nationality,greater than the Southern nationality.We concluded that the rural Henan Han nationality were close to the rural of Shanxi Han nationality and Manchu nationality in Qingyuan,and belongs to the North Asian type.

  6. Dietary n-6 PUFA, carbohydrate:protein ratio and change in body weight and waist circumference

    DEFF Research Database (Denmark)

    Jakobsen, Marianne Uhre; Madsen, Lise; Dethlefsen, Claus

    2014-01-01

    OBJECTIVE: To investigate the association between the intake of n-6 PUFA and subsequent change in body weight and waist circumference at different levels of the carbohydrate:protein ratio. DESIGN: Follow-up study with anthropometric measurements at recruitment and on average 5·3 years later....... Dietary intake was determined at recruitment by using an FFQ that was designed for the study and validated. We applied linear regression models with 5-year change in weight or waist circumference as outcome and including a two-way interaction term between n-6 PUFA and carbohydrate intakes, lower......:protein ratio; the differences in 5-year waist circumference change were 0·26 cm (95 % CI -0·47, 0·98 cm) and -0·52 cm (95 % CI -1·19, 0·15 cm), respectively. Inclusion of the dietary glycaemic index did not change the results. CONCLUSIONS: No consistent associations between the intake of n-6 PUFA and change...

  7. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, Janne S; Halkjaer, Jytte; Heitmann, Berit L

    2008-01-01

    drinking, drinking on 1, 2-4, 5-6, and 7 d/wk, respectively, compared with men who drank alcohol on alcohol intake or total energy intake did not affect results considerably. CONCLUSIONS: Drinking pattern may...... a prospective cohort study conducted in 1993-1997 (baseline) and 1999-2002 (follow-up) and included 43 543 men and women. Baseline information on alcohol drinking frequency was related to 1) change in waist circumference by linear regression and 2) major gain and major loss in waist circumference (defined...... as waist change in the lowest or highest quintile of waist changes) by polytomous logistic regression, also taking into account amount of alcohol intake. RESULTS: Drinking frequency was inversely associated with changes in waist circumference in women and was unassociated with changes in waist...

  8. On the comparison of the polarisation behaviour of exchange-biased AF/F NiMn/Fe{sub 37}Co{sub 48}Hf{sub 15} bi-layer and multi-layer films with increased ferromagnetic cut-off frequencies

    Energy Technology Data Exchange (ETDEWEB)

    Seemann, K., E-mail: klaus.seemann@kit.edu [Karlsruhe Institute of Technology KIT (Campus North), Institute for Applied Materials, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen (Germany); Leiste, H.; Krueger, K. [Karlsruhe Institute of Technology KIT (Campus North), Institute for Applied Materials, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen (Germany)

    2012-03-15

    Antiferromagnetic/ferromagnetic (AF/F) NiMn/Fe{sub 37}Co{sub 48}Hf{sub 15} films were investigated with respect to their exchange bias, in-plane unidirectional anisotropy, polarisation and high frequency behaviour. After deposition, carried out by r.f. magnetron sputtering, the films were post-annealed for 4 h at 300 Degree-Sign C in a static magnetic field, in order to induce exchange-bias, which results in a unidirectional anisotropy. Dependent on the presence of a bi-layer or multi-layer sandwich structure the films show a different exchange-bias field-ferromagnetic inter-layer thickness behaviour with exchange-bias fields {mu}{sub 0} Low-Asterisk H{sub eb} between 2 and 10 mT. The in-plane uniaxial (single film) or unidirectional anisotropy fields {mu}{sub 0}*H{sub UF} were between 4 and 18 mT. This results in a significant increase of the cut-off frequency in the GHz range in comparison to a single Fe{sub 37}Co{sub 48}Hf{sub 15} film, which is shown by frequency-dependent permeability plots. High damping in the imaginary part of the permeability, i.e., high resonance line broadening could be observed for films with high coercivity {mu}{sub 0}*H{sub c} of around 7 mT in the easy axis of magnetisation. - Highlights: Black-Right-Pointing-Pointer Static and dynamic properties of NiMn/Fe{sub 37}Co{sub 48}Hf{sub 15} bi- and multi-layer films. Black-Right-Pointing-Pointer Theoretic analysis of the H{sub eb}- field difference of bi- and multi-layer films. Black-Right-Pointing-Pointer Two-stage magnetic process in the polarisation curves of the AF/F multi-layers. Black-Right-Pointing-Pointer Damping at the ferromagnetic permeability resonance state of AF/F multi-layers. Black-Right-Pointing-Pointer Derivation of the ferromagnetic resonance of AF/F multi-layer films.

  9. Pre-treatment diffusion-weighted MR imaging for predicting tumor recurrence in uterine cervical cancer treated with concurrent chemoradiation: Value of histogram analysis of apparent diffusion coefficients

    Energy Technology Data Exchange (ETDEWEB)

    Heo, Suk Hee; Kim, Jin Woong; Lim, Hyo Soon; Jeong, Yong Yeon; Kang, Woo Dae; KIm, Seok Mo; Kang, Heong Keun [Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun (Korea, Republic of); Shin, Sang Soo [Chonnam National University Hospital, Chonnam National University Medical School, Gwangju (Korea, Republic of)

    2013-08-15

    To evaluate the value of apparent diffusion coefficient (ADC) histogram analysis for predicting tumor recurrence in patients with uterine cervical cancer treated with chemoradiation therapy (CRT). Our institutional review board approved this retrospective study and waived informed consent from each patient. Forty-two patients (mean age, 56 ± 14 years) with biopsy-proven uterine cervical squamous cell carcinoma who underwent both pre-treatment pelvic magnetic resonance imaging with a 3.0 T magnetic resonance scanner and concurrent CRT were included. All patients were followed-up for more than 6 months (mean, 36.4 ± 11.9 months; range 9.0-52.8 months) after completion of CRT. Baseline ADC parameters (mean ADC, 25th percentile, 50th percentile, and 75th percentile ADC values) of tumors were calculated and compared between the recurrence and no recurrence groups. In the recurrence group, the mean ADC and 75th percentile ADC values of tumors were significantly higher than those of the no recurrence group (p = 0.043 and p = 0.008, respectively). In multivariate analysis, the 75th percentile ADC value of tumors was a significant predictor for tumor recurrence (p = 0.009; hazard ratio, 1.319). When the cut-off value of the 75th percentile ADC (0.936 x 10{sup -3} mm{sup 2}/sec) was used, the overall recurrence free survival rate above the cut-off value was significantly lower than that below the cut-off value (51.9% vs. 91.7%, p = 0.003, log-rank test). Pre-CRT ADC histogram analysis may serve as a biomarker for predicting tumor recurrence in patients with uterine cervical cancer treated with CRT.

  10. Evaluation of marginal circumference and marginal thickness changes in precrimped stainless steel crowns, after recrimping

    Directory of Open Access Journals (Sweden)

    Afshar H

    2006-07-01

    Full Text Available Background and Aim: The need for recrimping precrimped stainless steel crowns by the dentist in clinic is controversial. This study aimed to evaluate the rate of marginal circumference and marginal thickness change of precrimped stainless steel crowns after recrimping. Materials and Methods: In this experimental study, 30 primary photos were taken from margins of 30 S.S.Cs (3M, Ni-Cr related to tooth 85 with a digital camera fixed at a determined distance. Margins of crowns were crimped by 114 and 137 pliers with a controlled force (0.2 N and then 30 secondary photos were taken in the same conditions. The circumference of crown margins in primary (group A and secondary (group B photos were assessed by a digitizer system. Comparing the circumferences of crown margins in primary and secondary photos showed a significant decrease after crimping. Thickness of 30 random points on the crown margins of a crown similar to mentioned cases was measured by SEM (×150. Then similar procedures including taking a primary photo, crimping and taking a secondary photo was done for the sample crown. After significant reduction in margin circumference, thickness of 30 other random points on the crown margin were measured by SEM. Data were analyzed by paired sample t-test with p<0.05 as the limit of significance. Results: The mean marginal circumference of precrimped stainless steel crowns was reduced by 7.3% which was significant (P<0.001. On the other hand the mean marginal thickness of sample stainless steel crown showed 18µ increase. Conclusion: According to the results of this study, marginal circumference of precrimped stainless steel crowns (3M, Ni-Cr showed a significant decrease after crimping. It is concluded that crimping the stainless steel crowns even for precrimped ones seems necessary.

  11. Glycemic index and glycemic load of thirteen year old children whose waist circumference (WC ≥ 90 percentile dependent on BMI

    Directory of Open Access Journals (Sweden)

    Zuzanna Goluch-Koniuszy

    2011-06-01

    Full Text Available Background. One of the reasons for the accumulation of fat tissue (including visceral fat tissue in the body is an unbalanced diet in respect of the amount and the structure of carbohydrates and the value of the glycemic index (GI and the glycemic load (GL. The research describing the dependence between the BMI (Body Mass Index, WC (Waist Circumference, WHtR (Waist-to-Height Ratio, and GI and GL indexes in adults exists but only a limited number of works discuss children during the pubertal spurt. Therefore the objective of this research is the evaluation of the state of nutrition of 13-year-old children with waist circumference ≥ 90 percentile with various BMI, taking into consideration GL and GL of their meals. Material and methods.The state of nutrition (BMI, WC, WHtR of 871 thirteen-year-old children of both sexes was evaluated and 230 children with WC ≥ 90 percentile were selected (26.4% of the total number examined and divided into three groups regarding the BMI. In 71 children (30.9% of the selected group the method of nutrition, energy and nutritive value of menus, structure of consumption of food groups and GI and GL value were evaluated, on the basis of the analysis of their three day menus, which had been documented. Results.Significantly higher values of BMI and WC were ascertained in boys than in girls. No essential differences in values of WHtR index were ascertained between boys and girls. The analysis of children’s menus, in both sexes with a waist circumference ≥ 90 percentile showed, regardless of BMI value, a low realisation of recommended energetic value of the diet and low realisation of recommended supply of: dietary fibre, fat, mineral components (K, Ca, P, Mg, Fe, Zn, Cu, vitamins (E, B1, PP and liquids with simultaneous occurrence of protein in general and animal protein, sodium and vitamins (A, B2, B6 supply. A significantly higher supply of the most of aforementioned ingredients was ascertained in the

  12. Waist circumference cutoff points for Chinese adults with metabolic syndrome defined by the International Diabetes Federation

    Institute of Scientific and Technical Information of China (English)

    Yanhui LU; Yuqing ZHANG; Changyu PAN; Juming LU; Shuyu WANG; Chunlin LI; Lisheng LIU; Runping ZHENG; Hui TIAN; Xianling WANG; Lijuan YANG

    2007-01-01

    Objective To investigate the appropriate waist circumference (WC) cutoff points for central obesity in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of the International Diabetes Federation (IDF). Methods A total of 2,344Beijing residents aged ≥40 years were investigated. They answered questionnaires, received physical examinations, and underwent plasma glucose and lipid profile measurement. Those non-diabetic subjects underwent a 75g oral glucose tolerance test. All data were analyzed to calculate the appropriate WC cutoff points for central obesity reaching the diagonsis of MS. Results 1) Both in males and females, the triglyceride (TG), systolic blood pressure, diastolic blood pressure and fasting plasma glucose (FPG) increased linearly with WC, and the high density lipoprotein cholesterol (HDL-C) decreased linearly with WC (P<0.05). 2)The prevalence of elevated TG,reduced HDL-C, elevated blood pressure, elevated FBG, or ≥ 2 of these factors increased with WC (P<0.05). 3) Based on the receiver operating characteristic (ROC) curve analysis and Youden index, the WC values for central obesity and for detecting BMI ≥ 25 kg/m2were about 90 cm for men and 80 cm for women. 4) The odds ratio for the presence of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and in women with WC ≥ 80 cm. Conclusions The appropriate WC cutoff point for central obesity was determined to be 90 cm for men and 80 cm for women in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of IDF.

  13. Association between Mediterranean and Nordic diet scores and changes in weight and waist circumference

    DEFF Research Database (Denmark)

    Roswall, Nina; Ängquist, Lars; Ahluwalia, Tarun Veer Singh

    2014-01-01

    between diet and genetic predisposition to adiposity, studies should consider both diet and genetics. OBJECTIVE: We investigated whether FTO rs9939609 and TCF7L2 rs7903146 modified the association between the MDS and Nordic diet score (NDS) and changes in weight (Δweight), waist circumference (ΔWC......), and waist circumference adjusted for body mass index (BMI) (ΔWCBMI). DESIGN: We conducted a case-cohort study with a median follow-up of 6.8 y that included 11,048 participants from 5 European countries; 5552 of these subjects were cases defined as individuals with the greatest degree of unexplained weight...

  14. Intake of ruminant trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, C P; Berentzen, T L; Halkjær, Jytte

    2012-01-01

    Follow-up studies have suggested that total intake of trans fatty acids (TFA) is a risk factor for gain in body weight and waist circumference (WC). However, in a cross-sectional study individual TFA isomers in adipose tissue had divergent associations with anthropometry. Our objective...

  15. The effects of Tai Chi on waist circumference and blood pressure in the elderly.

    Science.gov (United States)

    Lee, Young Mee

    2017-01-01

    [Purpose] The purpose of this study was to investigate the effects of Tai Chi on waist circumference and blood pressure in the elderly. The present study used a nonequivalent control group pretest-posttest design. [Subjects and Methods] Sixty-eight elderly individuals residing in J city were divided into 2 groups: 34 in the experimental group, who received Tai Chi training for 6 weeks, and 34 in the control group, who did not receive Tai Chi training. Simplified Yang style 24-form Tai Chi was used as the intervention, which was conducted for 60 minutes per session, 5 sessions per week, for a total of 6 weeks. In each session, subjects in the experimental group conducted 10 minutes of warm-up exercises, 45 minutes of Tai Chi, and 5 minutes of cool-down exercises. Waist circumference and blood pressure were measured before and after the 6-week intervention. [Results] Waist circumference and blood pressure decreased significantly after the 6-week intervention in the experimental group compared with the control group. [Conclusion] Tai Chi can be used as an effective intervention to improve waist circumference and blood pressure in the elderly.

  16. Yogurt consumption is associated with longitudinal changes of body weight and waist circumference: the framingham study

    Science.gov (United States)

    Yogurt, as a low-fat, nutrient-dense dairy product, may be beneficial in preventing weight gain. We aimed to examine the longitudinal association between yogurt consumption and annualized change in weight and waist circumference (WC) among adults. We included 3,285 adults (11,169 observations) parti...

  17. Adipose tissue trans fatty acids and changes in body weight and waist circumference

    DEFF Research Database (Denmark)

    Hansen, Camilla P.; Berentzen, Tina L.; Østergaard, Jane N.

    2014-01-01

    of these biomarkers may provide a more accurate measure of habitual TFA intake than that obtained with dietary questionnaires. The objective of the present study was to investigate the associations between the proportions of specific TFA in adipose tissue and subsequent changes in weight and waist circumference (WC...

  18. Physical activity in leisure-time is not associated with 10-year changes in waist circumference

    DEFF Research Database (Denmark)

    Berentzen, T.; Petersen, L.; Schnohr, P.

    2008-01-01

    To examine whether physical activity (PA) is associated with changes in waist circumference (WC), and changes in WC given changes in body mass index (BMI). Longitudinal population-based study including 2026 men and 2782 women aged 21-81 years. Subjects were examined in 1991-1993 (baseline) and 2001...

  19. Maternal prepregnancy waist circumference and BMI in relation to gestational weight gain and breastfeeding behavior

    DEFF Research Database (Denmark)

    Kirkegaard, Helene; Nøhr, Ellen A; Rasmussen, Kathleen M

    2015-01-01

    , affects GWG and breastfeeding behavior. OBJECTIVE: We investigated how maternal prepregnancy fat distribution, described by waist circumference (WC) and body mass index (BMI), is associated with GWG and breastfeeding behavior. DESIGN: We analyzed 1371 live births to 1024 women after enrollment...

  20. Longitudinal associations between BMI, waist circumference, and cardiometabolic risk in US youth: Monitoring implications

    Science.gov (United States)

    This study examined whether change in body mass index (BMI) or waist circumference (WC)is associated with change in cardiometabolic risk factors and differences between cardiovascular disease specific and diabetes specific risk factors among adolescents. We also sought to examine any differences by ...

  1. Serum 25-Hydroxyvitamin D Status and Longitudinal Changes in Weight and Waist Circumference

    DEFF Research Database (Denmark)

    Larsen, Sofus C.; Angquist, Lars; Moldovan, Max

    2016-01-01

    in body weight (ΔBW) or waist circumference (ΔWC), and whether the associations were modified by genetic predisposition to a high BMI, WC or waist-hip ratio adjusted for BMI (WHRBMI). The study was based on 10,898 individuals from the Danish Inter99, the 1958 British Birth Cohort and the Northern Finland...

  2. Waist circumference and body mass index as predictors of health care costs

    DEFF Research Database (Denmark)

    Højgaard, Betina; Gyrd-Hansen, Dorte; Olsen, Kim Rose

    2008-01-01

    BACKGROUND: In the present study we analyze the relationship between body mass index (BMI) and waist circumference (WC) and future health care costs. On the basis of the relation between these anthropometric measures and mortality, we hypothesized that for all levels of BMI increased WC implies...

  3. Weight training, aerobic physical activities, and long-term waist circumference change in men

    DEFF Research Database (Denmark)

    Mekary, Rania A; Grøntved, Anders; Despres, Jean-Pierre

    2015-01-01

    OBJECTIVE: Findings on weight training and waist circumference (WC) change are controversial. This study examined prospectively whether weight training, moderate to vigorous aerobic activity (MVAA), and replacement of one activity for another were associated with favorable changes in WC and body...

  4. Waist Circumference and Objectively Measured Sedentary Behavior in Rural School Adolescents

    Science.gov (United States)

    Machado-Rodrigues, Aristides M.; Coelho e Silva, Manuel J.; Ribeiro, Luís P.; Fernandes, Romulo; Mota, Jorge; Malina, Robert M.

    2016-01-01

    Background: Research on relationships between lifestyle behaviors and adiposity in school youth is potentially important for identifying subgroups at risk. This study evaluates the associations between waist circumference (WC) and objective measures of sedentary behavior (SB) in a sample of rural school adolescents. Methods: The sample included…

  5. Waist Circumference, Pedometer Placement, and Step-Counting Accuracy in Youth

    Science.gov (United States)

    Abel, Mark G.; Hannon, James C.; Eisenman, Patricia A.; Ransdell, Lynda B.; Pett, Marjorie; Williams, Daniel P.

    2009-01-01

    This study examined whether differences in waist circumference (WC) and pedometer placement (anterior vs. midaxillary vs. posterior) affect the agreement between pedometer and observed steps during treadmill and self-paced walking. Participants included 19 pairs of youth (9-15 years old) who were matched for sex, race, and height and stratified by…

  6. Changes in waist circumference and the incidence of diabetes in middle-aged men and women

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Jakobsen, Marianne Uhre; Halkjaer, Jytte

    2011-01-01

    Waist circumference (WC) is positively associated with diabetes, but the association with changes in WC (DWC) is less clear. We investigated the association between DWC and the subsequent risk of diabetes in middle-aged men and women, and evaluated the influence from concurrent changes in body mass...

  7. Waist circumference adjusted for body mass index and intra-abdominal fat mass

    DEFF Research Database (Denmark)

    Berentzen, Tina Landsvig; Angquist, Lars; Kotronen, Anna

    2012-01-01

    The association between waist circumference (WC) and mortality is particularly strong and direct when adjusted for body mass index (BMI). One conceivable explanation for this association is that WC adjusted for BMI is a better predictor of the presumably most harmful intra-abdominal fat mass (IAFM...

  8. Parental reported compared with measured waist circumference in 8-year-old children

    NARCIS (Netherlands)

    Bekkers, Marga B. M.; Brunekreef, Bert; Scholtens, Salome; Kerkhof, Marjan; Smit, Henriette A.; Wijga, Alet H.

    2011-01-01

    Objective. Most epidemiological, questionnaire-based studies collect data on body weight and height but not on waist circumference (WC), although WC is suggested to be clinically more relevant. It is unknown whether valid WC data of school-aged children can be obtained by questionnaires. In this stu

  9. Ultrasound measurements of intraabdominal fat estimate the metabolic syndrome better than do measurements of waist circumference

    NARCIS (Netherlands)

    Stolk, RP; Meijer, Rudy; Mali, WPTM; Grobbee, DE; van der Graaf, Y

    2003-01-01

    Background: We recently developed an ultrasound technique to estimate intraabdominal fat (IAF). This method is more accurate than measurement of waist and hip circumferences and is simpler and less expensive than computed tomography or magnetic resonance imaging. Objective: We compared the associati

  10. Common variants at 12q15 and 12q24 are associated with infant head circumference

    DEFF Research Database (Denmark)

    Taal, H Rob; St Pourcain, Beate; Thiering, Elisabeth;

    2012-01-01

    To identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six replication s...

  11. At what age is hydrocephalus detected, and what is the role of head circumference measurements?

    NARCIS (Netherlands)

    Breuning-Broers, J.M.; Deurloo, J.A.; Gooskens, R.H.; Verkerk, P.H.

    2014-01-01

    To investigate at what age hydrocephalus is detected and to assess the role of head circumference measurements in detecting hydrocephalus, we performed a retrospective chart review in children with hydrocephalus treated in a tertiary paediatric hospital in the Netherlands. The study group contained

  12. Waist circumference as a mediator of biological maturation effect on the motor coordination in children

    Science.gov (United States)

    Luz, Leonardo G.O.; Seabra, André; Padez, Cristina; Duarte, João P.; Rebelo-Gonçalves, Ricardo; Valente-dos-Santos, João; Luz, Tatiana D.D.; Carmo, Bruno C.M.; Coelho-e-Silva, Manuel

    2016-01-01

    Abstract Objective: The present study aimed to: 1) examine the association of biological maturation effect on performance at a motor coordination battery and 2) to assess whether the association between biological maturation and scores obtained in motor coordination tests is mediated by some anthropometric measurement. Methods: The convenience sample consisted of 73 male children aged 8 years old. Anthropometric data considered the height, body mass, sitting height, waist circumference, body mass index, fat mass and fat-free mass estimates. Biological maturation was assessed by the percentage of the predicted mature stature. Motor coordination was tested by the Körperkoordinationstest für Kinder. A partial correlation between anthropometric measurements, z-score of maturation and the motor coordination tests were performed, controlling for chronological age. Finally, causal mediation analysis was performed. Results: Height, body mass, waist circumference and fat mass showed a slight to moderate inverse correlation with motor coordination. Biological maturation was significantly associated with the balance test with backward walking (r=-0.34). Total mediation of the waist circumference was identified in the association between biological maturation and balance test with backward walking (77%). Conclusions: We identified an association between biological maturation and KTK test performance in male children and also verified that there is mediation of waist circumference. It is recommended that studies be carried out with female individuals and at other age ranges. PMID:26972616

  13. Short children with a low midupper arm circumference respond to food supplementation

    DEFF Research Database (Denmark)

    Fabiansen, Christian; Phelan, Kevin P Q; Cichon, Bernardette

    2016-01-01

    BACKGROUND: The management of children with moderate acute malnutrition (MAM) is based on food supplementation in outpatient programs. When midupper arm circumference (MUAC) is used as the sole admission criterion, it is common practice to exclude children with lengths ... rate between children supplements. Children aged 6-23 mo were included...

  14. Alcohol drinking frequency in relation to subsequent changes in waist circumference

    DEFF Research Database (Denmark)

    Tolstrup, J.S.; Halkjaer, J.; Heitmann, B.L.;

    2008-01-01

    BACKGROUND: Cross-sectional studies have reported a lower prevalence of abdominal obese persons among frequent drinkers than among nonfrequent drinkers. OBJECTIVE: We tested the hypothesis that drinking frequency is associated with subsequent changes in waist circumference. DESIGN: Data come from...

  15. Common variants at 12q15 and 12q24 are associated with infant head circumference

    NARCIS (Netherlands)

    Taal, H. Rob; St Pourcain, Beate; Thiering, Elisabeth; Das, Shikta; Mook-Kanamori, Dennis O.; Warrington, Nicole M.; Kaakinen, Marika; Kreiner-Moller, Eskil; Bradfield, Jonathan P.; Freathy, Rachel M.; Geller, Frank; Guxens, Monica; Cousminer, Diana L.; Kerkhof, Marjan; Timpson, Nicholas J.; Ikram, M. Arfan; Beilin, Lawrence J.; Bonnelykke, Klaus; Buxton, Jessica L.; Charoen, Pimphen; Chawes, Bo Lund Krogsgaard; Eriksson, Johan; Evans, David M.; Hofman, Albert; Kemp, John P.; Kim, Cecilia E.; Klopp, Norman; Lahti, Jari; Lye, Stephen J.; McMahon, George; Mentch, Frank D.; Mueller-Nurasyid, Martina; O'Reilly, Paul F.; Prokopenko, Inga; Rivadeneira, Fernando; Steegers, Eric A. P.; Sunyer, Jordi; Tiesler, Carla; Yaghootkar, Hanieh; Breteler, Monique M. B.; Debette, Stephanie; Fornage, Myriam; Gudnason, Vilmundur; Launer, Lenore J.; van der Lugt, Aad; Mosley, Thomas H.; Seshadri, Sudha; Smith, Albert V.; Vernooij, Meike W.; Blakemore, Alexandra I. F.; Chiavacci, Rosetta M.; Feenstra, Bjarke; Fernandez-Banet, Julio; Grant, Struan F. A.; Hartikainen, Anna-Liisa; van der Heijden, Albert J.; Iniguez, Carmen; Lathrop, Mark; McArdle, Wendy L.; Molgaard, Anne; Newnham, John P.; Palmer, Lyle J.; Palotie, Aarno; Pouta, Annneli; Ring, Susan M.; Sovio, Ulla; Standl, Marie; Uitterlinden, Andre G.; Wichmann, H-Erich; Vissing, Nadja Hawwa; DeCarli, Charles; van Duijn, Cornelia M.; McCarthy, Mark I.; Koppelman, Gerard H.; Estivill, Xavier; Hattersley, Andrew T.; Melbye, Mads; Bisgaard, Hans; Pennell, Craig E.; Widen, Elisabeth; Hakonarson, Hakon; Smith, George Davey; Heinrich, Joachim; Jarvelin, Marjo-Riitta; Jaddoe, Vincent W. V.; Adair, Linda S.; Ang, Wei; Atalay, Mustafa; van Beijsterveldt, Toos; Bergen, Nienke; Benke, Kelly; Berry, Diane; Bradfield, Jonathan P.; Charoen, Pimphen; Coin, Lachlan; Cousminer, Diana L.; Das, Shikta; Davis, Oliver S. P.; Elliott, Paul; Evans, David M.; Feenstra, Bjarke; Flexeder, Claudia; Frayling, Tim; Freathy, Rachel M.; Gaillard, Romy; Geller, Frank; Groen-Blokhuis, Maria; Goh, Liang-Kee; Guxens, Monica; Haworth, Claire M. A.; Hadley, Dexter; Hedebrand, Johannes; Hinney, Anke; Hirschhorn, Joel N.; Holloway, John W.; Holst, Claus; Hottenga, Jouke Jan; Horikoshi, Momoko; Huikari, Ville; Hypponen, Elina; Iniguez, Carmen; Kaakinen, Marika; Kilpelainen, Tuomas O.; Kirin, Mirna; Kowgier, Matthew; Lakka, Hanna-Maaria; Lange, Leslie A.; Lawlor, Debbie A.; Lehtimaki, Terho; Lewin, Alex; Lindgren, Cecilia; Lindi, Virpi; Maggi, Reedik; Marsh, Julie; Middeldorp, Christel; Millwood, Iona; Mook-Kanamori, Dennis O.; Murray, Jeffrey C.; Nivard, Michel; Nohr, Ellen Aagaard; Ntalla, Ioanna; Oken, Emily; O'Reilly, Paul F.; Palmer, Lyle J.; Panoutsopoulou, Kalliope; Pararajasingham, Jennifer; Prokopenko, Inga; Rodriguez, Alina; Salem, Rany M.; Sebert, Sylvain; Siitonen, Niina; Sovio, Ulla; St Pourcain, Beate; Strachan, David P.; Sunyer, Jordi; Taal, H. Rob; Teo, Yik-Ying; Thiering, Elisabeth; Tiesler, Carla; Uitterlinden, Andre G.; Valcarcel, Beatriz; Warrington, Nicole M.; White, Scott; Willemsen, Gonneke; Yaghootkar, Hanieh; Zeggini, Eleftheria; Boomsma, Dorret I.; Cooper, Cyrus; Estivill, Xavier; Gillman, Matthew; Grant, Struan F. A.; Hakonarson, Hakon; Hattersley, Andrew T.; Heinrich, Joachim; Hocher, Berthold; Jaddoe, Vincent W. V.; Jarvelin, Marjo-Riitta; Lakka, Timo A.; McCarthy, Mark I.; Melbye, Mads; Mohlke, Karen L.; Dedoussis, George V.; Ong, Ken K.; Pearson, Ewan R.; Pennell, Craig E.; Price, Thomas S.; Power, Chris; Raitakari, Olli T.; Saw, Seang-Mei; Scherag, Andre; Simell, Olli; Sorensen, Thorkild I. A.; Timpson, Nicholas J.; Widen, Elisabeth; Wilson, James F.; Ang, Wei; van Beijsterveldt, Toos; Bergen, Nienke; Benke, Kelly; Berry, Diane; Bradfield, Jonathan P.; Charoen, Pimphen; Coin, Lachlan; Cousminer, Diana L.; Das, Shikta; Elliott, Paul; Evans, David M.; Frayling, Tim; Freathy, Rachel M.; Gaillard, Romy; Groen-Blokhuis, Maria; Guxens, Monica; Hadley, Dexter; Hottenga, Jouke Jan; Huikari, Ville; Hypponen, Elina; Kaakinen, Marika; Kowgier, Matthew; Lawlor, Debbie A.; Lewin, Alex; Lindgren, Cecilia; Marsh, Julie; Middeldorp, Christel; Millwood, Iona; Mook-Kanamori, Dennis O.; Nivard, Michel; O'Reilly, Paul F.; Palmer, Lyle J.; Prokopenko, Inga; Rodriguez, Alina; Sebert, Sylvain; Sovio, Ulla; St Pourcain, Beate; Standl, Marie; Strachan, David P.; Sunyer, Jordi; Taal, H. Rob; Thiering, Elisabeth; Tiesler, Carla; Uitterlinden, Andre G.; Valcarcel, Beatriz; Warrington, Nicole M.; White, Scott; Willemsen, Gonneke; Yaghootkar, Hanieh; Boomsma, Dorret I.; Estivill, Xavier; Grant, Struan F. A.

    2012-01-01

    To identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six replication stud

  16. Common variants at 12q15 and 12q24 are associated with infant head circumference

    NARCIS (Netherlands)

    H.R. Taal (Rob); B. St Pourcain (Beate); E. Thiering (Eelisabeth); S. Das; D.O. Mook-Kanamori (Dennis); N. Warrington (Nicole); M. Kaakinen (Marika); E. Kreiner-Møller (Eskil); J.P. Bradfield (Jonathan); R.M. Freathy (Rachel); F. Geller (Frank); M. Guxens (Mònica ); D.L. Cousminer (Diana); M. Kerkhof (Marjan); N. Timpson (Nicholas); M.A. Ikram (Arfan); L.J. Beilin (Lawrie); K. Bønnelykke (Klaus); J.L. Buxton (Jessica L); P. Charoen (Pimphen); B.L.K. Chawes (Bo Lund Krogsgaard); K. Hagen (Knut); D.M. Evans (David); A. Hofman (Albert); J.P. Kemp (John); C.E. Kim (Cecilia); N. Klopp (Norman); J. Lahti (Jari); S.J. Lye (Stephen); G. Mcmahon (George); F.D. Mentch (Frank); M. Müller-Nurasyid (Martina); P.F. O'Reilly (Paul); I. Prokopenko (Inga); F. Rivadeneira Ramirez (Fernando); E.A.P. Steegers (Eric); J. Sunyer (Jordi); C. Tiesler (Carla); H. Yaghootkar (Hanieh); M. Fornage (Myriam); S. Seshadri (Sudha); R. Schmidt (Reinhold); S. Debette (Stéphanie); H.A. Vrooman (Henri); S. Sigurdsson (Stefan); S. Ropele (Stefan); L.H. Coker (Laura); W.T. Longstreth Jr; W.J. Niessen (Wiro); A.L. DeStefano (Anita); A. Beiser (Alexa); A.P. Zijdenbos; M.V. Struchalin (Maksim); C.R. Jack Jr. (Clifford); M.A. Nalls (Michael); R. Au (Rhoda); H. Gudnason (Haukur); A. van der Lugt (Aad); T.B. Harris (Tamara); W.M. Meeks (William); M.W. Vernooij (Meike); M.A. van Buchem (Mark); D.J. Catellier (Diane); V. Gudnason (Vilmundur); B.G. Windham (B Gwen); P.A. Wolf (Philip); C.M. van Duijn (Cock); T.H. Mosley (Thomas); R. Schmidt (Reinhold); L.J. Launer (Lenore); M.M.B. Breteler (Monique); W.Q. Ang (Wei); C.E.M. van Beijsterveldt (Toos); N.E. Bergen (Nienke); P.J. Benke (Paul); D. Berry (Diane); L. Coin (Lachlan); P. Elliott (Paul); T.M. Frayling (Timothy); R. Gaillard (Romy); M. Groen-Blokhuis (Maria); D. Hadley (David); J.J. Hottenga (Jouke Jan); V. Huikari (Ville); E. Hypponen (Elina); M. Kowgier (Matthew); D.A. Lawlor (Debbie); A. Lewin (Alex); C.M. Lindgren (Cecilia); J.A. Marsh (Julie); C.M. Middeldorp (Christel); I.Y. Millwood (Iona); M. Nivard (Michel); C. Palmer (Cameron); A. Rodriguez (Alfredo Chapin); S. Sebert (Sylvain); U. Sovio (Ulla); E. Standl (Eberhard); D.P. Strachan (David); H.R. Taal (Rob); A.G. Uitterlinden (André); B. Valcárcel (Beatriz); S. White (Scott); G.A.H.M. Willemsen (Gonneke); D.I. Boomsma (Dorret); X. Estivill (Xavier); S.F. Grant; A.T. Hattersley (Andrew); J. Heinrich (Joachim); V.W.V. Jaddoe (Vincent); M.-R. Jarvelin (Marjo-Riitta); M.I. McCarthy (Mark); C.E. Pennell (Craig); C. Power (Christopher); E. Widen (Elisabeth); A.I.F. Blakemore (Alexandra); R.M. Chiavacci (Rosetta); B. Feenstra (Bjarke); J. Fernandez-Banet (Julio); A.L. Hartikainen; A.J. van der Heijden (Bert); A. Iñiguez (Andrés); M. Lathrop (Mark); W.L. McArdle (Wendy); A. Mølgaard (Anne); J.P. Newnham (John); A. Palotie (Aarno); A. Pouta (Anneli); S.M. Ring (Susan); H.E. Wichmann (Heinz Erich); H. Vissing; C. DeCarli (Charles); G.H. Koppelman (Gerard); M. Melbye (Mads); H. Bisgaard; H. Hakonarson (Hakon); G.D. Smith; V.W.V. Jaddoe (Vincent); L.S. Adair (Linda); M. Atalay (Mustafa); O.S.P. Davis (Oliver S.); C. Flexeder (Claudia); L.-K. Goh; C.M.A. Haworth (Claire M.); J. Hedebrand (Johannes); A. Hinney (Anke); J.N. Hirschhorn (Joel); J.W. Holloway (John); J.J. Holst; M. Horikoshi (Momoko); T.O. Kilpeläinen (Tuomas); M. Kirin (Mirna); T.A. Lakka (Timo); L.A. Lange (Leslie); T. Lehtimäki (Terho); V. Lindi (Virpi); R. Maggi (Reedik); J.C. Murray (Jeffrey); C. Nohr (Christian); I. Ntalla (Ioanna); E. Oken (Emily); K. Panoutsopoulou (Kalliope); J. Pararajasingham (Jennifer); R.M. Salem (Rany); N. Siitonen (Niina); H.R. Taal (Rob); Y.Y. Teo (Yik Ying); E. Zeggini (Eleftheria); C. Cooper (Charles); M.W. Gillman (Matthew W.); B. Hocher (Berthold); T.A. Lakka (Timo); K.L. Mohlke (Karen); G.V. Dedoussis (George); K.K. Ong (Ken); E. Pearson (Ewan); T.S. Price (Thomas); O. Raitakari (Olli); S-M. Saw (Seang-Mei); A. Scherag (Andre); O. Simell (Olli); T.I.A. Sørensen (Thorkild); J.F. Wilson (James)

    2012-01-01

    textabstractTo identify genetic variants associated with head circumference in infancy, we performed a meta-analysis of seven genome-wide association studies (GWAS) (N = 10,768 individuals of European ancestry enrolled in pregnancy and/or birth cohorts) and followed up three lead signals in six repl

  17. Does change in hip circumference predict cardiovascular disease and overall mortality in Danish and Swedish women?

    DEFF Research Database (Denmark)

    Lanfer, Anne; Mehlig, Kirsten; Heitmann, Berit L

    2014-01-01

    Accumulating evidence consistently shows that small hip circumference (HC) is related to increased risk of cardiovascular disease (CVD), coronary heart disease, diabetes, and premature death in women. This study aims to clarify whether this inverse association can be found in both normal...

  18. Waist circumference as a mediator of biological maturation effect on the motor coordination in children

    Directory of Open Access Journals (Sweden)

    Leonardo G.O. Luz

    Full Text Available Abstract Objective: The present study aimed to: 1 examine the association of biological maturation effect on performance at a motor coordination battery and 2 to assess whether the association between biological maturation and scores obtained in motor coordination tests is mediated by some anthropometric measurement. Methods: The convenience sample consisted of 73 male children aged 8 years old. Anthropometric data considered the height, body mass, sitting height, waist circumference, body mass index, fat mass and fat-free mass estimates. Biological maturation was assessed by the percentage of the predicted mature stature. Motor coordination was tested by the Körperkoordinationstest für Kinder. A partial correlation between anthropometric measurements,